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 is a Physical Therapist 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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