Samuel Blum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15527 Issued in WI

Practice address

3205 E Washington Ave Ste 1
Madison, WI 53704-4332

Phone

(608) 886-9802

Fax

(608) 249-7728

NPI assigned

Jul 23, 2021

Last updated

Apr 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luedtke-Storm-Mackey Chiropractic Clinic, SCGroup PAC ID 6204737240, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Luedtke-Storm-Mackey Chiropractic Clinic SC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1457343246

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Associated Physicians, LLP

  • Internal Medicine Physician
  • Madison, WI
  • NPI 1861412785

  Physical Therapist

  Medicare reassignment NPD
• Capitol Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Verona, WI
  • NPI 1184286932

  Physical Therapist

  Medicare reassignment NPD
• Capitol Physical Therapy LLC

  • Physical Therapist
  • Verona, WI
  • NPI 1104846542
  NPD

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1760055081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLARMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902675",
            "telephone_number": "608-318-5929",
            "fax_number": "608-318-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 E WASHINGTON AVE STE 1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044332",
            "telephone_number": "608-886-9802",
            "fax_number": "608-249-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6710 University Ave",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "WI",
            "postal_code": "535622764",
            "country_code": "US",
            "telephone_number": "608-820-1300",
            "fax_number": "608-836-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "SAMUEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100176636",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluestem Acupuncture
• Audrey Blum, RN
• Jessica Daviana Blum, MD, MSC
• Julie Ann Blum
• Matthew Blum
• David E. Blume, M.D.
• Kylie Blume, MD
• Zoe Louise Blumenthal, MD
• Jennifer Bluske, OTR
• Joseph N Blustein, M.D., MPH

• Physical Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.