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

Samuel Douglas, PT, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1356003867

Samuel Douglas, PT, DPT is a Physical Therapist in Private Practice in Oakland, California. Qualified in 2021, 5 years ago. Practices with Taylor and Thornburg Physical Therapy, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3300 Webster St Ste 703
Oakland, CA 94609-3122
Phone: (510) 835-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 300980 (CA)

Record details

NPI number1356003867
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021
Mailing address515 Vernon St Apt 203, Oakland, CA 94610-1402

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Taylor And Thornburg Physical Therapy, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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