Organization Active NPI

Healing in Motion PLLC

  • Occupational Therapist
  • Novi, MI
National Provider Identifier
1609949171
Registry record updated Nov 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201006188 Issued in MI
Legal business name
HEALING IN MOTION PLLC
Practice address
24520 Meadowbrook Rd Ste 225
Novi, MI 48375-2867
Phone
(734) 913-4816
Fax
(734) 913-8021
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2021

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

Authorized official

Name
Ms. Lisa M. Wiley, OTRL, CHTNPI 1316278609
Title
Owner
Phone
(734) 913-4816

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
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 5501011880 MI
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 5501005696 MI
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 5201006188 MI Primary

Addresses

Primary practice location

24520 Meadowbrook Rd Ste 225
Novi, MI 48375-2867

Mailing address

24520 Meadowbrook Rd Ste 225
Novi, MI 48375-2867
Phone (734) 913-4816

Other identifiers 2

IdentifierTypeStateIssuer
P20200005OtherMIPTAN
0P20200OtherMIPTAN

Other names 1

  • Healing In Motion PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803000552 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729016324 Receives reassigned benefits from 2 practitioners
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Locations

5340 Plymouth Rd
Ste 100
Ann Arbor, MI 48105
Phone (734) 913-4816

24520 Meadowbrook Rd
Ste 225
Novi, MI 48375
Phone (734) 913-4816

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636243200000",
    "number": "1609949171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 MEADOWBROOK RD STE 225",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752867",
            "telephone_number": "734-913-4816",
            "fax_number": "734-913-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 MEADOWBROOK RD STE 225",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752867",
            "telephone_number": "734-913-4816",
            "fax_number": "734-913-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING IN MOTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-913-4816",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTRL, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011880",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005696",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201006188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P20200005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0P20200",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing In Motion PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Healing In Motion PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.