Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMUEL LAM PT, DPT
NPI 1417872201
Physical Therapist in New York, NY

Active since August 11, 2026
4246 BROADWAY, NEW YORK, NY 10033(646) 790-7463 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Aug 11, 2026 (2 updates tracked since 2026).

About Samuel Lam Pt, Dpt NPPES

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

SAMUEL LAM PT, DPT (NPI 1417872201) is an individual physical therapist in New York, New York, licensed in New York (053351) and active in the NPI registry since August 2026. The provider maintains a secondary practice location in Long Island City and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417872201
Entity TypeIndividual
Primary Taxonomy225100000X
Provider Legal NameSAMUEL LAMCredential: PT, DPT
Location Address4246 BROADWAYNew York, NY 10033-3708
Mailing Address2649 Strang Blvd Ste 304Yorktown Heights, NY 10598-2938
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 11, 2026
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1417872201 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 NY · 053351
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.
4246 BROADWAY, New York, NY 10033

Secondary Practice Location 1

Location 14502 Queens BlvdLong Island City, NY 11104-2304 · Phone (347) 812-0455 · Fax (212) 784-6871

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7911466891
PECOS Enrollment IDI20260831003806

Medicare Billing Reassignment

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

Physical Therapy
120 E 56TH ST, SUITE 1010
New York, NY 10022
  • Reassigned Medicare billing, New York enrollment
  • 706 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 20

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

Physical Therapist (Orthopedic)
4246 BROADWAY
NEW YORK, NY 10033
Physical Therapist
4246 BROADWAY
NEW YORK, NY 10033
Physical Therapist
4246 BROADWAY
NEW YORK, NY 10033
Physical Therapist
4246 BROADWAY
NEW YORK, NY 10033
Physical Therapist
4246 BROADWAY
NEW YORK, NY 10033
Physical Therapist
4246 BROADWAY
NEW YORK, NY 10033
Physical Therapist
4246 BROADWAY
NEW YORK, NY 10033
Physical Therapist
4246 BROADWAY
NEW YORK, NY 10033

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 Lam's NPI number?

The NPI number for Samuel Lam is 1417872201. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Samuel Lam located?

Samuel Lam practices at 4246 Broadway, New York, NY 10033. The listed phone number is (646) 790-7463.

What is Samuel Lam's specialty?

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

Is Samuel Lam enrolled in Medicare?

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

Which organization bills Medicare for Samuel Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Lam reassigns Medicare benefits to Spear Physical And Occupational Therapy, LLC (New York, NY). 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 Lam'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 Lam was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.