Organization Active NPI

Matrx Health & Fitness, LLC

  • Neurology Physical Therapist
  • Macomb, MI
National Provider Identifier
1598255960
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
5501015621 Issued in MI
Legal business name
MATRX HEALTH & FITNESS, LLC
Practice address
16145 Leone Dr
Macomb, MI 48042-4063
Phone
(586) 232-3644
Fax
(248) 579-0197
NPI assigned
May 11, 2018
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Dr. Krystina Nicole Miller, PT, DPT, ATPNPI 1619425352
Title
Ceo
Phone
(586) 232-3644

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 5501015621 MI Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

16145 Leone Dr
Macomb, MI 48042-4063

Mailing address

16145 Leone Dr
Macomb, MI 48042-4063
Phone (586) 232-3644

Other practice location 1

18428 Pellett Dr
Fenton, MI 48430-8508
Phone (989) 400-1152

Other practice location 2

12304 Lake Rd
Otter Lake, MI 48464-9106
Phone (989) 400-1152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180801002821 MI Part B Supplier - Clinic/Group Practice 8224386669 Receives reassigned benefits from 3 practitioners
Practice locations: Macomb, MI

National Provider Directory

National Provider Directory

Locations

16009 Leone Dr
Macomb, MI 48042
Phone (586) 232-3644

16145 Leone Dr
Macomb, MI 48042
Phone (586) 232-3644

12304 Lake Rd
Otter Lake, MI 48464
Phone (989) 400-1152

Practitioners & affiliated clinicians

Practitioners 3

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": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1598255960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16145 LEONE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424063",
            "telephone_number": "586-232-3644",
            "fax_number": "248-579-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16145 LEONE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424063",
            "telephone_number": "586-232-3644",
            "fax_number": "248-579-0197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18428 Pellett Dr",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MI",
            "postal_code": "484308508",
            "country_code": "US",
            "telephone_number": "989-400-1152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12304 Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Otter Lake",
            "state": "MI",
            "postal_code": "484649106",
            "country_code": "US",
            "telephone_number": "989-400-1152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATRX HEALTH & FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KRYSTINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-232-3644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ATP"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MI",
            "license": "5501015621",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 22, 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.