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

Dr. Brent Hull, PTDPT

Individual provider Physical Therapist · NPI 1609394659

Dr. Brent Hull, PTDPT is a Physical Therapist in Private Practice in Traverse City, Michigan. Qualified in 2017, 9 years ago. Practices with Elite Physical Therapy and Sports Performance, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
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Practice location Address checks out

4177 Village Park Dr
Traverse City, MI 49685-7237
Phone: (231) 421-5805
Fax: (231) 421-8447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501018346 (MI)

Record details

NPI number1609394659
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorYes
NPI enumeratedAugust 30, 2017
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Elite Physical Therapy And Sports Performance — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City