Organization Active NPI

Next Rep Physical Therapy and Sports Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Shelby Township, MI
National Provider Identifier
1467262972
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEXT REP PHYSICAL THERAPY AND SPORTS REHABILITATION LLC
Practice address
48910 Van Dyke Ave
Shelby Township, MI 48317-2573
Phone
(586) 817-1710
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Mr. Matthew Zoelling, DPTNPI 1619588902
Title
Doctor of Physical Therapy / Owner
Phone
(586) 817-1710

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

48910 Van Dyke Ave
Shelby Township, MI 48317-2573

Mailing address

17926 Red Oaks Dr
Macomb, MI 48044-2769
Phone (586) 817-1710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724004081 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749797827 Receives reassigned benefits from 1 practitioner
Practice locations: Shelby Township, MI

National Provider Directory

National Provider Directory

Locations

48910 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 817-1710

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": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1467262972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17926 RED OAKS DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442769",
            "telephone_number": "586-817-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48910 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172573",
            "telephone_number": "586-817-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT REP PHYSICAL THERAPY AND SPORTS REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "ZOELLING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY / OWNER",
        "authorized_official_telephone_number": "586-817-1710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.