Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMUEL GREENLEAF PT, DPT
NPI 1629863733
Physical Therapist in Redlands, CA

Active since April 10, 2025
1752 E LUGONIA AVE STE 117-1089, REDLANDS, CA 92374(909) 557-0712 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 28, 2026, Apr 10, 2025 (2 updates tracked since 2025).

About Dr. Samuel Greenleaf Pt, Dpt NPPES

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

DR. SAMUEL GREENLEAF PT, DPT (NPI 1629863733) is an individual physical therapist in Redlands, California, licensed in California (306672) and active in the NPI registry since April 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1629863733
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. SAMUEL GREENLEAFCredential: PT, DPT
Location Address1752 E LUGONIA AVE STE 117-1089Redlands, CA 92374-2730
Mailing Address1752 E Lugonia Ave Ste 1171089Redlands, CA 92374-2730 · (909) 557-0712
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 10, 2025
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
NPI 1629863733 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 CA · 306672
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.
1752 E LUGONIA AVE STE 117-1089, Redlands, CA 92374

Other Names 1

Former Name (1)Samuel Hart

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Greenleaf Pt, Dpt 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 ID3476057274
PECOS Enrollment IDI20250916001704

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 Greenleaf's NPI number?

The NPI number for Samuel Greenleaf is 1629863733. It was assigned to this individual provider in the NPPES registry on April 10, 2025. The provider is also known as Samuel Hart.

Where is Samuel Greenleaf located?

Samuel Greenleaf practices at 1752 E Lugonia Ave Ste 117-1089, Redlands, CA 92374. The listed phone number is (909) 557-0712.

What is Samuel Greenleaf's specialty?

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

Is Samuel Greenleaf enrolled in Medicare?

Yes. Samuel Greenleaf 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.

When was this NPI record last updated?

The NPPES record for Samuel Greenleaf was last updated on August 28, 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.