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

Samuel Fain

Individual provider Physical Therapist · NPI 1609388214

Samuel Fain is a Physical Therapist in Private Practice in Kingston, New York. Qualified in 2017, 9 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

918 Ulster Ave
Kingston, NY 12401-1344
Phone: (845) 802-7080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 Ferncliff Dr, Rhinebeck, NY 12572-2068 — (845) 876-2011

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 041802 (NY)

Record details

NPI number1609388214
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2017
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingston