Family Orthopedic Associates P L C

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FAMILY ORTHOPEDIC ASSOCIATES P L C

Practice address

815 S State Rd Ste a
Davison, MI 48423-1751

Phone

(810) 652-6178

Fax

(810) 652-6181

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Kelsey

Title

Director of Operations

Phone

(810) 733-1200

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• OrthoMichigan Therapy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Family Orthopedic Associates P L C

  • Orthopaedic Surgery Physician
  • Flint, MI
  • NPI 1215930490

  O20040330000670

  Same enrollment
• Family Orthopedic Associates P L C

  • Orthopaedic Surgery Physician
  • Lapeer, MI
  • NPI 1497807333

  O20040330000670

  Same enrollment

Practitioners 8

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

• Jaclyn Brothers, PA-C

  • Physician Assistant
  • Flint, MI
  • NPI 1619397601
  NPD
• Mona Lee Goatley, PT

  • Physical Therapist
  • Flint, MI
  • NPI 1083902449
  NPD
• Matthew Willman Hettle, MD

  • Physical Medicine & Rehabilitation Physician
  • Flint, MI
  • NPI 1134100415
  NPD
• Gordon A McClimans II, DO

  • Orthopaedic Surgery Physician
  • Lapeer, MI
  • NPI 1619942513
  NPD
• Sharon R Persons, OT

  • Occupational Therapist
  • Davison, MI
  • NPI 1609140748
  NPD
• Ajay Kumar Srivastava, MD

  • Orthopaedic Surgery Physician
  • Flint, MI
  • NPI 1649429853
  NPD
• Sunhee Szynkowski, PT

  • Physical Therapist
  • Fenton, MI
  • NPI 1023239076
  NPD
• Megan Thornton, PA-C

  • Physician Assistant
  • Flint, MI
  • NPI 1619781382
  NPD

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1679765374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 W BRISTOL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073170",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S STATE RD STE A",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231751",
            "telephone_number": "810-652-6178",
            "fax_number": "810-652-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHOPEDIC ASSOCIATES P L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "810-733-1200"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5426420002 PTAN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN DME",
            "identifier": "0B50769",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS DME",
            "identifier": "5426420002",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoMichigan Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Rae Evans, NP-C
• David Lee Ewing, DDS
• Eyecare Associates
• Mary F Fairweather, RPH
• Family Fare, LLC
• Family Orthopedic Associates P L C
• Farhan Family Medicine
• Thaer Jamal Farhan, DO
• Paul Fatell, PH.D.
• Tina Marie Fields, LMSW

• Physical Therapist in Davison, MI
• Providers in Davison, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.