Organization Active NPI

Live Big & Loud LLC

  • Rehabilitation Practitioner
  • Fort Gratiot, MI
National Provider Identifier
1154292878
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
LIVE BIG & LOUD LLC
Practice address
3915 Pine Grove Ave
Fort Gratiot, MI 48059-4251
Phone
(810) 531-8794
NPI assigned
Sep 16, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLNESS WORKS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent Duane Marquardt, MS, CCC-SLPNPI 1518175884
Title
Owner/Operator
Phone
(810) 531-8794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

3915 Pine Grove Ave
Fort Gratiot, MI 48059-4251

Mailing address

3915 Pine Grove Ave
Fort Gratiot, MI 48059-4251
Phone (810) 531-8794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251022004444 MI Part B Supplier - Clinic/Group Practice 9830687748 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Gratiot, MI

National Provider Directory

National Provider Directory
Part of
Wellness Works LLC

Locations

3915 Pine Grove Ave
Fort Gratiot, MI 48059
Phone (810) 531-8794

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1154292878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 PINE GROVE AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594251",
            "telephone_number": "810-531-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 PINE GROVE AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594251",
            "telephone_number": "810-531-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE BIG & LOUD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLNESS WORKS, LLC",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "MARQUARDT",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "810-531-8794",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gratiot, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.