Provider Demographics
NPI:1508730979
Name:EXCEPTIONAL SOLUTIONS PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:EXCEPTIONAL SOLUTIONS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:616-430-8172
Mailing Address - Street 1:1018 PINCKNEY RD
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:MI
Mailing Address - Zip Code:48881-9411
Mailing Address - Country:US
Mailing Address - Phone:616-430-8172
Mailing Address - Fax:
Practice Address - Street 1:1444 MICHIGAN ST NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-2028
Practice Address - Country:US
Practice Address - Phone:616-430-8172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty