Samodulski Physical Therapy PC
NPI 1164012241 · Orthopedic Physical Therapist · Oyster Bay, NY
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samodulski Physical Therapy PC is a Orthopedic Physical Therapist organization in Oyster Bay, NY (NPI 1164012241).
Provider details
- NPI number
- 1164012241
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Julian Samodulski, Owner(347) 489-8441
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Frequently asked questions
- What is Samodulski Physical Therapy PC's NPI number?
- Samodulski Physical Therapy PC's National Provider Identifier (NPI) is 1164012241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samodulski Physical Therapy PC?
- Samodulski Physical Therapy PC is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Samodulski Physical Therapy PC located?
- Samodulski Physical Therapy PC's practice location on file with NPPES is 68 W Main St, Oyster Bay, NY 11771-2284.
- What is Samodulski Physical Therapy PC's phone number?
- The practice phone number listed in the NPPES registry for Samodulski Physical Therapy PC is (516) 340-9501.
- Does Samodulski Physical Therapy PC accept Medicare?
- Samodulski Physical Therapy PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Samodulski Physical Therapy PC?
- The authorized official listed on Samodulski Physical Therapy PC's NPPES record is Julian Samodulski, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samodulski Physical Therapy PC's NPI active?
- Yes — Samodulski Physical Therapy PC's NPI (1164012241) is active in the NPPES registry as of the last update on 2023-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.