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

Samuel Robert Waldron, DPT

Individual provider Physical Therapist · NPI 1205582269

Samuel Robert Waldron, DPT is a Physical Therapist in Private Practice in Baltimore, Maryland. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Maryland and New Jersey.

Years since qualifying
5
Licensed in
MD, NJ
In the registry since
2022
Specialties on file
2
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

3100 Boston St
Baltimore, MD 21224
Phone: (410) 995-9055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 — (877) 407-3422

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 29384 (MD)
Physical Therapist Taxonomy 225100000X · Licence 40QA02074900 (NJ)

Record details

NPI number1205582269
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 28, 2022
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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)
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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