Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Initium Physical Therapy and Sports Performance LLC

Organization Physical Therapist · NPI 1144973769

Initium Physical Therapy and Sports Performance LLC provides Physical Therapist services in Saint Joseph, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2506 S State St
Saint Joseph, MI 49085-1916
Phone: (269) 470-5831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1144973769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trevor Carr — Physical Therapist · (269) 470-5831
NPI enumeratedFebruary 2, 2022
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022
Mailing address2506 S State St, Saint Joseph, MI 49085-1916

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