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

Justin Sam

Individual provider Physical Therapist · NPI 1902531320

Justin Sam is a Physical Therapist in Private Practice in San Francisco, California. Qualified in 2022, 4 years ago. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1635 Divisadero St
San Francisco, CA 94115-3036
Phone: (415) 833-4325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 302221 (CA)

Record details

NPI number1902531320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 20, 2022
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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