SAMUEL J MIN PT
NPI 1336674613
Physical Therapist in Hackensack, NJ

Active since April 25, 2017
100 COMMERCE WAY STE C, HACKENSACK, NJ 07601(201) 300-4447 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2024, Apr 25, 2017 (2 updates tracked since 2017).

About Samuel J Min Pt NPPES

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

SAMUEL J MIN PT (NPI 1336674613) is an individual physical therapist in Hackensack, New Jersey, licensed in New Jersey (40QA01655400) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1336674613
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL J MINCredential: PT
Location Address100 COMMERCE WAY STE CHackensack, NJ 07601-6307
Mailing Address845 Broad AveRidgefield, NJ 07657-1002 · (201) 840-5400
Sole ProprietorYes
Enumeration DateApril 25, 2017
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1336674613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NJ · 40QA01655400
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
100 COMMERCE WAY STE C, Hackensack, NJ 07601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel J Min Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samuel Min reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
100 COMMERCE WAY UNIT C
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 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

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

Physical Therapist
100 COMMERCE WAY STE C
HACKENSACK, NJ 07601

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 Min's NPI number?

The NPI number for Samuel Min is 1336674613. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Samuel Min located?

Samuel Min practices at 100 Commerce Way Ste C, Hackensack, NJ 07601. The listed phone number is (201) 300-4447.

What is Samuel Min's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samuel Min enrolled in Medicare?

Yes. Samuel Min is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Min's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Min reassigns Medicare benefits to Body Shop Physical Therapy And Wellness LLC (Hackensack, NJ). 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 Samuel Min'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 Samuel Min was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.