Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel Charles-Prabhakar Johnson, DPT

Individual provider Pediatric Physical Therapist · NPI 1205074846

Samuel Charles-Prabhakar Johnson, DPT is a Pediatric Physical Therapist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
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

1026 46th St
Brooklyn, NY 11219-2401
Phone: (917) 682-1875
Fax: (718) 435-7908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 62023595 (NY)

Record details

NPI number1205074846
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedFebruary 3, 2009
Last updated in NPPESFebruary 3, 2009

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