NPIMap

Organization Active NPI

Seton Health Corporation of Southeastern Michigan

Doing business as Seton Medical Group Inc

  • Physical Therapy Clinic/Center
  • Macomb, MI
National Provider Identifier
1487067260
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN
Doing business as
Seton Medical Group Inc
Shelby Physical Therapy
Practice address
17900 23 Mile Rd
Suite 401
Macomb, MI 48044-1161
Phone
(586) 868-9040
Fax
(586) 868-9013
NPI assigned
Jun 9, 2014
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Kimberly Cebalt
Title
Director
Phone
(313) 874-6764

Specialties & licenses 1

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

Addresses

Primary practice location

17900 23 Mile Rd
Suite 401
Macomb, MI 48044-1161

Mailing address

PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829

Other practice location 1

1225 S Latson Rd Ste 110
Howell, MI 48843-7658
Phone (517) 338-2320

Other identifiers 1

IdentifierTypeStateIssuer
30789OtherMIBCBSM

Other names 2

  • Seton Medical Group Inc Doing business as
  • Shelby Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141023002018 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2567689540 Practice locations: Howell, MI; Macomb, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Seton Health Corporation of Southeastern Michigan11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2251 N Squirrel Rd
Ste 125
Auburn Hills, MI 48326
Phone (248) 340-1600

1225 S Latson Rd
Ste 110
Howell, MI 48843
Phone (517) 338-2320

17900 23 Mile Rd
Ste 101
Macomb, MI 48044
Phone (586) 868-9010

Practitioners & affiliated clinicians

Practitioners 143

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 143

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1487067260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670884",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670884",
            "telephone_number": "800-999-5829",
            "fax_number": "248-641-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 23 MILE RD",
            "address_2": "SUITE 401",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441161",
            "telephone_number": "586-868-9040",
            "fax_number": "586-868-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 S Latson Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488437658",
            "country_code": "US",
            "telephone_number": "517-338-2320",
            "fax_number": "517-338-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "CEBALT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-874-6764"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "30789",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seton Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelby Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shelby Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.