Macomb Martial Arts

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MACOMB MARTIAL ARTS

Practice address

56788 Mound Rd
Shelby TWP, MI 48316-4942

Phone

(586) 345-0037

NPI assigned

Sep 22, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Konnor KuppeNPI 1427925171

Title

Owner

Phone

(586) 345-0037

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Konnor Kuppe

  • Athletic Trainer
  • Shelby TWP, MI
  • NPI 1427925171
  NPD Authorized official

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1841162500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56788 MOUND RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483164942",
            "telephone_number": "586-345-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56788 MOUND RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483164942",
            "telephone_number": "586-345-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB MARTIAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "KUPPE",
        "authorized_official_first_name": "KONNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-345-0037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Long, NP
• Vanessa Lopatka, M.S., CCC-SLP
• Jaclyn Losty
• Caleb Lourash, DC
• Loving Mothers
• Erin Kathleen Makl, PT, DPT
• Terry Denise Maley, COTA
• Rene Denise Malinovich, FNP-BC
• Chad M Maloney, O.D.
• Boby Philip Manalel, PT

• Rehabilitation Clinic/Center in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.