Samuel Courtright, ACSM-EP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

1038189 Issued in NU

Practice address

138 Orlin Ave SE # 1
Minneapolis, MN 55414-3520

Phone

(952) 356-2022

NPI assigned

Mar 31, 2022

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1043950637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ORLIN AVE SE # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143520",
            "telephone_number": "952-356-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 ORLIN AVE SE # 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143520",
            "telephone_number": "952-356-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTRIGHT",
        "first_name": "SAMUEL",
        "credential": "ACSM-EP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NU",
            "license": "1038189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Counts
• Kaitlyn Countz
• Courage Midwifery LLC
• Courageous Counseling LLC
• Douglas B Coursin, MD
• Trina Courtright, D.T.
• Elizabeth Courts
• Robert Couser, MD
• Leslie N Cousin, PA-C
• Lia Cousin

• Clinical Exercise Physiologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Exercise Physiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.