Individual provider Active NPI

Amber A Samojedny, DPT

  • Physical Therapist
  • Clinton TWP, MI
National Provider Identifier
1710494885
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018518 Issued in MI
Practice address
21550 Harrington St Ste D
Clinton TWP, MI 48036-2362
Phone
(586) 783-7590
Fax
(586) 439-5229
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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 5501018518 MI Primary

Addresses

Primary practice location

21550 Harrington St Ste D
Clinton TWP, MI 48036-2362

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122002137 MI Practitioner - Physical Therapist in Private Practice 5890054738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Consultants,P.C.Group PAC ID 7012172455, 5 clinicians

Practice addresses (Care Compare)

1031 Saint Clair River Dr
Algonac, MI 48001-1457
Phone (810) 671-0018

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Consultants,P.C. Physical Therapist CurrentSince Dec 8, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Dec 1, 2019 Accepting new patients
CKS of Mt Clemens LLC Physical Therapist CurrentSince Jan 10, 2018 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Dec 1, 2019 Accepting new patients

Locations

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141

1031 Saint Clair River Dr
Algonac, MI 48001
Phone (810) 671-0018

329 Columbia St
Ste B
Algonac, MI 48001
Phone (810) 671-0018

2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820

1940 S Telegraph Rd
Bloomfield Hills, MI 48302
Phone (248) 409-0490

21550 Harrington St
Ste D
Clinton Twp, MI 48036
Phone (586) 783-7590

200 Renaissance Ctr
Ste 1202
Detroit, MI 48243
Phone (313) 334-4302

3436 S River Rd
Ste B
East China, MI 48054
Phone (810) 326-3540

1485 N Michigan Ave
Ste 100
Howell, MI 48843
Phone (517) 545-5880

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

3901 Highland Rd
Ste B
Waterford, MI 48328
Phone (248) 682-3225

Interoperability endpoints

  • Direct secure messaging: amber.samojedny.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1710494885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 HARRINGTON ST STE D",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362362",
            "telephone_number": "586-783-7590",
            "fax_number": "586-439-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOJEDNY",
        "first_name": "AMBER",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.