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

Samuel J Tyriver, PT

Individual provider Physical Therapist · NPI 1487909438

Samuel J Tyriver, PT is a Physical Therapist in Private Practice in Milwaukee, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2012, 14 years ago. Practices with Midwest Orthopedic Specialty Hospital, LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2012
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

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 266-2858
Fax: (414) 266-1697
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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 14498 (WI)

Record details

NPI number1487909438
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 16, 2012
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Midwest Orthopedic Specialty Hospital, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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