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

Samuel Chan

Individual provider Physical Therapist · NPI 1518587773

Samuel Chan is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2019, 7 years ago. Practices with Bespoke Treatments Physical Therapy PC, a 23-clinician group. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

143 Darnell Ln
Staten Island, NY 10309-1954
Phone: (718) 227-6244
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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 045102 (NY)

Record details

NPI number1518587773
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2020
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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 Bespoke Treatments Physical Therapy Pc — 23 clinicians
Accepts Medicare assignment Not indicated

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