Healthcare Provider Details

I. General information

NPI: 1851930564
Provider Name (Legal Business Name): APEX PHYSICAL THERAPY & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2019
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 TENNIS CT
SAINT JOSEPH MI
49085-9502
US

IV. Provider business mailing address

3630 TENNIS CT
SAINT JOSEPH MI
49085-9502
US

V. Phone/Fax

Practice location:
  • Phone: 269-769-3175
  • Fax:
Mailing address:
  • Phone: 269-210-5534
  • Fax: 269-666-6598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY OLIVEIRA
Title or Position: OWNER
Credential:
Phone: 269-769-3175