Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam Wang Physical Therapy PLLC

Organization Physical Therapist · NPI 1477397685

Sam Wang Physical Therapy PLLC provides Physical Therapist services in Staten Island, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Woodbine Ave
Staten Island, NY 10314-1833
Phone: (917) 365-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1477397685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Wang — Owner · (917) 365-2100
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address115 Woodbine Ave, Staten Island, NY 10314-1833

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