MELVIN SAM PT, DPT
NPI 1043687197
Physical Therapist in Marietta, GA
About Melvin Sam Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELVIN SAM PT, DPT (NPI 1043687197) is an individual physical therapist in Marietta, Georgia, licensed in Georgia (PT013481) and active in the NPI registry since August 2015. He maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melvin Sam Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melvin Sam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Marys, GA 31558
- Reassigned Medicare billing, Georgia enrollment
- 88 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Melvin Sam's NPI number?
The NPI number for Melvin Sam is 1043687197. It was assigned to this individual provider in the NPPES registry on August 25, 2015.
Where is Melvin Sam located?
Melvin Sam practices at 1809 Canton Rd Ste 600, Marietta, GA 30066. The listed phone number is (404) 367-2086.
What is Melvin Sam's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Melvin Sam enrolled in Medicare?
Yes. Melvin Sam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melvin Sam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melvin Sam reassigns Medicare benefits to Advance Rehabilitation & Consulting Limited Partnership (Saint Marys, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melvin Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melvin Sam was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.