NPIMap

Organization Active NPI

Kids in Motion Pediatric Therapy Services LTD.

  • Physical Therapy Clinic/Center
  • Highland, MI
National Provider Identifier
1467559740
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KIDS IN MOTION PEDIATRIC THERAPY SERVICES LTD.
Practice address
2636 S Milford Rd
Highland, MI 48357-4938
Phone
(248) 684-9610
Fax
(248) 684-9611
NPI assigned
Sep 20, 2006
Last updated
Aug 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Ms. Mary Therese Hydorn, PTNPI 1639381478
Title
President
Phone
(248) 684-9610

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 NU Primary

Addresses

Primary practice location

2636 S Milford Rd
Highland, MI 48357-4938

Mailing address

2636 S Milford Rd
Highland, MI 48357-4938
Phone (248) 684-9610

Other identifiers 1

IdentifierTypeStateIssuer
40-4682811MedicaidMI

National Provider Directory

National Provider Directory

Locations

7822 Andersonville Rd
Clarkston, MI 48346
Phone (248) 684-9610

1050 S Milford Rd
Ste 103
Highland, MI 48357
Phone (248) 889-1201

4345 Meigs Ave
Ste A
Waterford, MI 48329
Phone (248) 684-9610

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1467559740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574938",
            "telephone_number": "248-684-9610",
            "fax_number": "248-684-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574938",
            "telephone_number": "248-684-9610",
            "fax_number": "248-684-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS IN MOTION PEDIATRIC THERAPY SERVICES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "HYDORN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-684-9610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40-4682811",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.