NPIMap

Organization Active NPI

KKS of Michigan LLC

Doing business as Healthquest Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Orion, MI
National Provider Identifier
1225233273
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KKS OF MICHIGAN LLC
Doing business as
Healthquest Physical Therapy & Wellness
Practice address
3009 S Baldwin Rd
Orion, MI 48359-2362
Phone
(248) 393-7707
NPI assigned
Jun 19, 2007
Last updated
Jan 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Julie MartelNPI 1114107463
Title
Owner
Phone
(248) 601-9207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X MI Primary

Addresses

Primary practice location

3009 S Baldwin Rd
Orion, MI 48359-2362

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207

Other identifiers 2

IdentifierTypeStateIssuer
0F35850OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
5870183OtherMIAETNA

Other names 1

  • HEALTHQUEST PHYSICAL THERAPY & WELLNESS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080715000379 MI Part B Supplier - Clinic/Group Practice 4981773967 Receives reassigned benefits from 39 practitioners
Practice locations: Imlay City, MI; Lake Orion, MI; Lapeer, MI; Orion, MI

National Provider Directory

National Provider Directory

Locations

6672 Newark Rd
Imlay City, MI 48444
Phone (810) 614-6482

3009 S Baldwin Rd
Orion, MI 48359
Phone (248) 393-7707

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1225233273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 S BALDWIN RD",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483592362",
            "telephone_number": "248-393-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKS OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MARTEL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-601-9207"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "0F35850",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5870183",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHQUEST PHYSICAL THERAPY & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTHQUEST PHYSICAL THERAPY & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.