Samuel Mbaki Moke
Samuel Mbaki Moke is a Physical Therapy Assistant provider (Physical Therapy Assistant) practicing in De Pere, WI, registered in the NPPES registry with NPI 1629841721 since 2023. Practices at Rennes Assisted Living Corp (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1629841721 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Samuel Mbaki Moke |
| Sex | Male |
| Practice address | De Pere, WI, 54115 |
| Phone | 7155822247 |
| Fax | 9209835174 |
| Enumeration date | 2023-11-01 |
| Last updated in NPPES | 2023-11-01 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | Primary | 4122-19 | WI |
Copy-ready billing details
Provider: Samuel Moke NPI: 1629841721 Taxonomy: 225200000X (Physical Therapy Assistant) Address: De Pere, WI, 54115
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831584937 | Rennes Assisted Living Corp | Organization | Assisted Living Facility | De Pere, WI |
Verify this record
Cross-check NPI 1629841721 against the authoritative CMS record: view Samuel Mbaki Moke on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1629841721 active?
How do I verify Samuel Moke's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-01.