MEDICARE: EXCEPTIONAL SOLUTIONS PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1508730979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEPTIONAL SOLUTIONS PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	1018 PINCKNEY RD
Second Line	:
City	:	SARANAC
State	:	MI
Zip	:	48881-9411
Country	:	US
Telephone Number	:	616-430-8172
Fax Number	:

Provider Business Practice Location Address
First Line	:	1444 MICHIGAN ST NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2028
Country	:	US
Telephone Number	:	616-430-8172
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA NEWELL
Credential	:	DPT
Telephone Number	:	616-430-8172

Provider Enumeration Date	:	09/30/2025
Last Update Date	:	10/22/2025

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