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

Samantha Dai Pernick

Individual provider Physical Therapist · NPI 1730735044

Samantha Dai Pernick is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2019, 7 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
7
Licensed in
FL, NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11135 S Jog Rd Ste 1, Boynton Beach, FL 33437-1817 — (561) 752-3820
  • 309 Northwest Dr, Farmingdale, NY 11735-4935 — (516) 420-2900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 045785 (NY)
Physical Therapist Taxonomy 225100000X · Licence 34854 (FL)

Record details

NPI number1730735044
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2019
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck