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Promet Physical Therapy, PC

NPI 1164738936ActiveOrganization· Physical Therapist· Kew Gardens, NY

Physical Therapist in Kew Gardens, New York, registered in NPPES in August 2010. The authorized official on file is Julian Samodulski, PT, DPT, Partner.

Overview

NPI1164738936
StatusActive
Entity typeOrganization
NPI issuedAug 31, 2010
Last updated in NPPESAug 31, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X028654NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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