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SAMUEL YOO PHYSICAL THERAPY PC
NPI 1124773940
Clinic/Center in Staten Island, NY

Active since February 21, 2022
3930 RICHMOND AVE STE 200, STATEN ISLAND, NY 10312(718) 317-9801 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Apr 4, 2022, Feb 21, 2022 (3 updates tracked since 2022).

About Samuel Yoo Physical Therapy Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL YOO PHYSICAL THERAPY PC (NPI 1124773940) is a healthcare organization registered as a clinic/center in Staten Island, New York and active in the NPI registry since February 2022. The organization lists Samuel Yoo, Pt, as its authorized official.

NPPES Registry Identity

NPI1124773940
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAMUEL YOO PHYSICAL THERAPY PC
Location Address3930 RICHMOND AVE STE 200Staten Island, NY 10312-5103
Mailing Address3930 Richmond Ave Ste 200Staten Island, NY 10312-5103
Phone(718) 317-9801
Organization SubpartNo
Authorized OfficialSamuel YooPt · (646) 240-8453
Enumeration DateFebruary 21, 2022
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1124773940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3930 RICHMOND AVE STE 200, Staten Island, NY 10312
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Other Identifiers 3

OtherG400061606NY · Medicare Member Ptan For Queens
OtherA400026932NY · Medicare Member Ptan For Brooklyn, Staten Island, Manhattan
Medicaid1891939625NY

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLIE OKSONG CHOE LAC.
Acupuncturist
3930 RICHMOND AVE STE 200
STATEN ISLAND, NY 10312
Richmond County (646) 483-6564
PRIMARY ZONE ACUPUNCTURE PLLC
Acupuncturist
3930 RICHMOND AVE STE 200
STATEN ISLAND, NY 10312
Richmond County (718) 317-9801
SAMUEL SANGWON YOO P.T.
Physical Therapist
3930 RICHMOND AVE STE 200
STATEN ISLAND, NY 10312
Richmond County (646) 240-8453

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 Samuel Yoo Physical Therapy PC's NPI number?

The NPI number for Samuel Yoo Physical Therapy PC is 1124773940. It was assigned to this organization in the NPPES registry on February 21, 2022.

Where is Samuel Yoo Physical Therapy PC located?

Samuel Yoo Physical Therapy PC is located at 3930 Richmond Ave Ste 200, Staten Island, NY 10312. The listed phone number is (718) 317-9801.

What is Samuel Yoo Physical Therapy PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Samuel Yoo Physical Therapy PC was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.