JUSTIN SAM
NPI 1902531320
Physical Therapist in San Francisco, CA

Active since July 20, 2022
1635 DIVISADERO ST, SAN FRANCISCO, CA 94115(415) 833-4325 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2022, Jul 20, 2022 (2 updates tracked since 2022).

About Justin Sam NPPES

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

JUSTIN SAM (NPI 1902531320) is an individual physical therapist in San Francisco, California, licensed in California (302221) and active in the NPI registry since July 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1902531320
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJUSTIN SAM
Location Address1635 DIVISADERO STSan Francisco, CA 94115-3036
Mailing Address521a Monterey RdPacifica, CA 94044-2064
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 20, 2022
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1902531320 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 · 302221
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.
1635 DIVISADERO ST, San Francisco, CA 94115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin Sam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608382890
PECOS Enrollment IDI20250723003349

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.

Nurse Practitioner (Obstetrics & Gynecology)
1635 DIVISADERO ST, SUITE 600 RM 17
SAN FRANCISCO, CA 94115
Physical Therapist
1635 DIVISADERO ST, 3RD FLOOR , PTD
SAN FRANCISCO, CA 94115
Anesthesiology
1635 DIVISADERO ST, SUITE 625, UCSF MEDICAL CENTER, DEPT. OF ANESTHESIA
SAN FRANCISCO, CA 94115
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1635 DIVISADERO ST, SUITE 525
SAN FRANCISCO, CA 94115
Optometrist
1635 DIVISADERO ST, SUITE 400A
SAN FRANCISCO, CA 94115
Physical Therapist
1635 DIVISADERO ST, SUITE 300
SAN FRANCISCO, CA 94115
Optometrist
1635 DIVISADERO ST, 3RD FLOOR
SAN FRANCISCO, CA 94115
Occupational Therapist
1635 DIVISADERO ST, SUITE 300
SAN FRANCISCO, CA 94115

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 Justin Sam's NPI number?

The NPI number for Justin Sam is 1902531320. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Justin Sam located?

Justin Sam practices at 1635 Divisadero St, San Francisco, CA 94115. The listed phone number is (415) 833-4325.

What is Justin Sam's specialty?

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

Is Justin Sam enrolled in Medicare?

Yes. Justin Sam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Sam was last updated on October 25, 2022. 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.