NPIMap

Organization Active NPI

Michigan in Motion Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Macomb, MI
National Provider Identifier
1639746993
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
MICHIGAN IN MOTION PHYSICAL THERAPY, LLC
Practice address
52900 Garfield Rd
Macomb, MI 48042-3573
Phone
(586) 991-1399
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
Bobbi Goodwine, DPTNPI 1679790323
Title
Co-Owner/Physical Therapist
Phone
(586) 991-1399

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

52900 Garfield Rd
Macomb, MI 48042-3573

Mailing address

52900 Garfield Rd
Macomb, MI 48042-3573
Phone (586) 991-1399

Other names 1

  • Michigan In Motion 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
O20211217001766 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395136766 Receives reassigned benefits from 9 practitioners
Practice locations: Macomb, MI

National Provider Directory

National Provider Directory

Locations

52900 Garfield Rd
Macomb, MI 48042
Phone (586) 991-1399

55220 Van Dyke Ave
Shelby Township, MI 48316

Practitioners & affiliated clinicians

Practitioners 10

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": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1639746993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52900 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423573",
            "telephone_number": "586-991-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52900 GARFIELD RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423573",
            "telephone_number": "586-991-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN IN MOTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "GOODWINE",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "586-991-1399",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan In Motion 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 Nov 29, 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.