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

Mr. Brad Samples II, DPT

Individual provider Physical Therapist · NPI 1679605752

Mr. Brad Samples II, DPT is a Physical Therapist in Private Practice in Wayne, New Jersey. Qualified in 2005, 21 years ago. Practices with Performance Physical Therapy and Sports Conditioning LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
21
Licensed in
NJ
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

15 Corporate Dr Unit 6
Wayne, NJ 07470
Phone: (973) 368-4907
Fax: (973) 368-4909
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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 40QA01180900 (NJ)

Record details

NPI number1679605752
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 12, 2007
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address2025 Hamburg Tpke Ste E, Wayne, NJ 07470-6250

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Performance Physical Therapy And Sports Conditioning Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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