Samuel Apple, DPT

Individual provider Active NPI Physical Therapist · Brighton, MI

NPI 1831673524 · NPPES record last updated Sep 19, 2018

Key facts

NPI
1831673524
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501018914 (MI)
Practice address
455 E Grand River Ave Ste 102
Brighton, MI 48116-1563
Phone
(810) 534-7004
Fax
(810) 775-1046
NPI assigned
Sep 19, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
University of Michigan Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance Solutions LLC (5 clinicians)

Practice addresses (Care Compare)

530 Livernois St
Ferndale, MI 48220-2304
Phone (248) 733-5052

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240814003924 MI Practitioner - Physical Therapist in Private Practice 1052651965 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Solutions LLC Physical Therapist Current
since Jul 8, 2024
Accepting new patients

Locations

530 Livernois St
Ste B
Ferndale, MI 48220

530 Livernois St
Ferndale, MI 48220
Phone (248) 733-3784

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018914 MI Yes

Addresses

Primary practice location

455 E Grand River Ave Ste 102
Brighton, MI 48116-1563

Mailing address

6156 Richards
Brighton, MI 48116-9548
Phone (810) 599-6314

Other providers in Brighton, MI

All providers in Brighton, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.