Active NPI
Robert Samuels, PT
- Physical Therapist
- Oakland Gardens, NY
National Provider Identifier
1972843522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003388-1
- Practice address
- 6839 Cloverdale LN
Oakland Gardens, NY 11364-2760 - Phone
- (718) 428-8505
- Fax
- (718) 428-8505
- NPI assigned
- Feb 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003388-1 | NY | Primary |
Addresses
Primary practice location
6839 Cloverdale LN
Oakland Gardens, NY 11364-2760
Mailing address
6839 Cloverdale LN
Oakland Gardens, NY 11364-2760
Phone (718) 428-8505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003388-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1972843522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 CLOVERDALE LN",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642760",
"telephone_number": "718-428-8505",
"fax_number": "718-428-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6839 CLOVERDALE LN",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113642760",
"telephone_number": "718-428-8505",
"fax_number": "718-428-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-19",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "003388-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.