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

Samuel Blum, PT

Individual provider Physical Therapist · NPI 1760055081

Samuel Blum, PT is a Physical Therapist in Private Practice in Madison, Wisconsin. Qualified in 2021, 5 years ago. Practices with Luedtke-Storm-Mackey Chiropractic Clinic, SC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3205 E Washington Ave Ste 1
Madison, WI 53704-4332
Phone: (608) 886-9802
Fax: (608) 249-7728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6710 University Ave, Middleton, WI 53562-2764 — (608) 820-1300

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15527 (WI)

Record details

NPI number1760055081
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 23, 2021
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing address105 Clarmar Dr, Sun Prairie, WI 53590-2675

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Luedtke-Storm-Mackey Chiropractic Clinic, Sc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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