Active NPI
Matrx Health & Fitness, LLC
- Neurology Physical Therapist
- Macomb, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 5501015621
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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, ATP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physical Therapist
- Macomb, MI
- NPI 1619425352
-
- Physical Therapist
- Clinton Township, MI
- NPI 1538733894
-
- Physical Therapist
- Clinton Township, MI
- NPI 1588371355
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.