Organization Active NPI

Small Steps Mighty Strides Pediatric Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1710791728
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SMALL STEPS MIGHTY STRIDES PEDIATRIC THERAPY, LLC
Practice address
40206 Lizabeth Dr
Sterling Heights, MI 48313-4032
Phone
(586) 292-4765
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Carol Julien, MPTNPI 1023226891
Title
President and Ceo
Phone
(586) 292-4765

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

40206 Lizabeth Dr
Sterling Heights, MI 48313-4032

Mailing address

40206 Lizabeth Dr
Sterling Heights, MI 48313-4032
Phone (586) 292-4765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421001145 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870018039 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1710791728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40206 LIZABETH DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134032",
            "telephone_number": "586-292-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40206 LIZABETH DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483134032",
            "telephone_number": "586-292-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL STEPS MIGHTY STRIDES PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "JULIEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "586-292-4765",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.