Individual provider Active NPI

Samuel Murray

  • Physical Therapist
  • Ypsilanti, MI
National Provider Identifier
1659142453
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302996 Issued in MI
Practice address
1159 E Michigan Ave Ste E
Ypsilanti, MI 48198-5807
Phone
(734) 712-1589
NPI assigned
Jan 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501302996 MI Primary

Addresses

Primary practice location

1159 E Michigan Ave Ste E
Ypsilanti, MI 48198-5807

Mailing address

3075 W Clark Rd Ste 200
Ypsilanti, MI 48197-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202002029 MI Practitioner - Physical Therapist in Private Practice 6507219896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Wayne State University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians

Practice addresses (Care Compare)

1159 E Michigan Ave
Suite E
Ypsilanti, MI 48198-5807
Phone (734) 712-1589

3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1120
Phone 73471277022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302996MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Probility Therapy Services CurrentSince Jan 16, 2024 Accepting new patients
Probility Therapy Services Physical Therapist CurrentSince Jan 16, 2024 Accepting new patients

Locations

3145 W Clark Rd
Ste 102
Ypsilanti, MI 48197
Phone (734) 528-9760

3075 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 528-9760

1159 E Michigan Ave
Ste E
Ypsilanti, MI 48198
Phone (734) 483-9474

3145 W Clark Rd
Ste 106
Ypsilanti, MI 48197
Phone (734) 528-9760

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1659142453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 W CLARK RD STE 200",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E MICHIGAN AVE STE E",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985807",
            "telephone_number": "734-712-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.