SPORT SUMMIT PHYSICAL THERAPY LLC
NPI 1861047847
Clinic/Center - Physical Therapy in Clare, MI
About Sport Summit Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPORT SUMMIT PHYSICAL THERAPY LLC (NPI 1861047847) is a healthcare organization registered as a physical therapy in Clare, Michigan and active in the NPI registry since August 2019. The organization lists Jordan Mcconnell, Owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sport Summit Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Sport Summit Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sport Summit Physical Therapy LLC's NPI number?
The NPI number for Sport Summit Physical Therapy LLC is 1861047847. It was assigned to this organization in the NPPES registry on August 6, 2019.
Where is Sport Summit Physical Therapy LLC located?
Sport Summit Physical Therapy LLC is located at 1513 N Mcewan St, Clare, MI 48617. The listed phone number is (989) 621-0457.
What is Sport Summit Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Sport Summit Physical Therapy LLC enrolled in Medicare?
Yes. Sport Summit Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sport Summit Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Sport Summit Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sport Summit Physical Therapy LLC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sport Summit Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sport Summit Physical Therapy LLC was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sport Summit Physical Therapy Llc · NPI 1861047847
Physical Therapy organization in Clare, Michigan. Organization record, active in the CMS NPPES registry since August 6, 2019.
## Identity
- **NPI:** 1861047847 (Entity type: Organization)
- **Enumerated:** August 6, 2019
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Jordan Mcconnell, OWNER/THERAPIST
## Practice location
- **Address:** 1513 N MCEWAN ST, Clare, MI 48617-1162
- **Phone:** (989) 621-0457
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 27, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1861047847) · Data from the CMS NPPES public registry.