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

Samuel Souto, DPT

Individual provider Physical Therapist · NPI 1578233508

Samuel Souto, DPT is a Physical Therapist in Private Practice in Bayside, New York. Qualified in 2021, 5 years ago. Practices with Physical Therapy Doctor, PC, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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

21273 26th Ave
Bayside, NY 11360-1943
Phone: (718) 747-2019
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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 018012 (NY)

Record details

NPI number1578233508
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 21, 2021
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address21273 26th Ave, Bayside, NY 11360-1943

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 Physical Therapy Doctor,P.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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