Organization Active NPI

In-Motion Prosthetics & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Saint Clair Shores, MI
National Provider Identifier
1366937328
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
IN-MOTION PROSTHETICS & ORTHOTICS, LLC
Practice address
25915 Harper Ave Ste D
Saint Clair Shores, MI 48081-3770
Phone
(586) 666-3280
NPI assigned
Jun 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
George Walz, CP,BOCONPI 1225341993
Title
Owner
Phone
(586) 666-3280

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
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

25915 Harper Ave Ste D
Saint Clair Shores, MI 48081-3770

Mailing address

25915 Harper Ave Ste D
Saint Clair Shores, MI 48081-3770
Phone (586) 666-3280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181003002434 MI DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 8325390214 Practice locations: Saint Clair Shores, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
In-Motion Prosthetics & Orthotics25915 Harper Ave, Saint Clair Shores, MI 48081-3770(586) 666-3280 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Aug 1, 2018

National Provider Directory

National Provider Directory

Locations

25915 Harper Ave
Ste D
Saint Clair Shores, MI 48081
Phone (586) 666-3280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1366937328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE STE D",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-666-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25915 HARPER AVE STE D",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813770",
            "telephone_number": "586-666-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-MOTION PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "WALZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-666-3280",
        "authorized_official_credential": "CP,BOCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.