NPIMap

Organization Active NPI

Michigan Surgery Specialists P.C.

Doing business as Motus Rehabilitation

  • Prosthetic/Orthotic Supplier
  • Warren, MI
National Provider Identifier
1851877153
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MICHIGAN SURGERY SPECIALISTS P.C.
Doing business as
Motus Rehabilitation
Practice address
11012 E 13 Mile Rd Ste 200
Warren, MI 48093-2547
Phone
(586) 573-8890
Fax
(586) 573-2706
NPI assigned
Jul 19, 2018
Reactivated
Jan 30, 2019
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHIGAN SURGERY SPECIALISTS P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Michele L Kudlor
Title
Billing Supervisor
Phone
(586) 558-9705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

11012 E 13 Mile Rd Ste 200
Warren, MI 48093-2547

Mailing address

11012 E 13 Mile Rd Ste 200
Warren, MI 48093-2547
Phone (586) 558-9705

Other identifiers 2

IdentifierTypeStateIssuer
0E01734OtherMIBCBSM
7626310001OtherMIMEDICARE

Other names 1

  • Motus Rehabilitation Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Motus Rehabilitation11012 E 13 Mile Rd, Warren, MI 48093-2547(586) 558-9705 Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated… Accepts assignmentParticipating since Jul 20, 1994

National Provider Directory

National Provider Directory
Tax ID family
Burke Edwar17 organizations share this tax ID, including this one
Part of
Burke Edwar

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

29900 Lorraine Ave
Ste 200
Warren, MI 48093

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1851877153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932547",
            "telephone_number": "586-558-9705",
            "fax_number": "586-558-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932547",
            "telephone_number": "586-573-8890",
            "fax_number": "586-573-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SURGERY SPECIALISTS P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN SURGERY SPECIALISTS P.C.",
        "enumeration_date": "2018-07-19",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "deactivation_date": "2019-01-07",
        "reactivation_date": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "KUDLOR",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "586-558-9705"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E01734",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7626310001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motus Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Motus Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.