DR. SAMANTHA TAN D.P.T.
NPI 1548569015
Physical Therapist in Holbrook, NY

Active since March 22, 2011Accepts Medicare Assignment
78 SOMERSET DR, HOLBROOK, NY 11741(631) 793-9234 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Samantha Tan D.p.t. NPPES

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

DR. SAMANTHA TAN D.P.T. (NPI 1548569015) is an individual physical therapist in Holbrook, New York, licensed in New York (033237) and active in the NPI registry since March 2011. She maintains a secondary practice location in Seattle and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2010).

NPPES Registry Identity

NPI1548569015
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. SAMANTHA TANCredential: D.P.T.
Location Address78 SOMERSET DRHolbrook, NY 11741-2877
Mailing Address78 Somerset DrHolbrook, NY 11741-2877
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2010
Enumeration DateMarch 22, 2011
Last NPPES UpdateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1548569015 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 · 033237
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.
78 SOMERSET DR, Holbrook, NY 11741

Secondary Practice Location 1

Location 1201 16th Ave ESeattle, WA 98112-5226 · Phone (206) 326-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Tan D.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597915611
PECOS Enrollment IDI20180925003687

Medicare Billing Reassignment

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

Multi-Specialty
2930 MAPLE ST
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samantha Tan's NPI number?

The NPI number for Samantha Tan is 1548569015. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Samantha Tan located?

Samantha Tan practices at 78 Somerset Dr, Holbrook, NY 11741. The listed phone number is (631) 793-9234.

What is Samantha Tan's specialty?

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

Is Samantha Tan enrolled in Medicare?

Yes. Samantha Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samantha Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Tan reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Everett, WA). 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 Samantha Tan'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 Samantha Tan was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.