Family Orthopedic Associates P L C

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FAMILY ORTHOPEDIC ASSOCIATES P L C

Doing business as

OrthoMichigan/OrthoMichigan Therapy Services

Practice address

17015 Silver Pkwy
Fenton, MI 48430-3425

Phone

(810) 593-0023

Fax

(810) 593-0202

NPI assigned

Mar 19, 2013

Last updated

Sep 19, 2024By the provider in NPPES

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 6

Addresses

Other names 1

• OrthoMichigan/OrthoMichigan Therapy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Family Orthopedic Associates P L C

  dba OrthoMichigan/OrthoMichigan Therapy Services

  • Orthopaedic Surgery Physician
  • Lapeer, MI
  • NPI 1124360102

  6800888124

  Same PAC ID
• Family Orthopedic Associates P L C

  dba OrthoMichigan/OrthoMichigan NOW/OrthoMichigan Therapy Services

  • Orthopaedic Surgery Physician
  • Flint, MI
  • NPI 1215930490

  6800888124

  Same PAC ID
• Family Orthopedic Associates P L C

  dba OrthoMichigan Therapy Services

  • Physical Therapist
  • Flint, MI
  • NPI 1326436817

  6800888124

  Same PAC ID

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1891037768",
    "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": "17015 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303425",
            "telephone_number": "810-593-0023",
            "fax_number": "810-593-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHOPEDIC ASSOCIATES P L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoMichigan/OrthoMichigan Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopaedic Surgery Physician in Fenton, MI
• Providers in Fenton, MI by specialty
• Orthopaedic Surgery Physician 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.