NPIMap

Organization Active NPI

KSS of Shelby LLC

  • Durable Medical Equipment & Medical Supplies
  • Shelby TWP, MI
National Provider Identifier
1902769029
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KSS OF SHELBY LLC
Practice address
48875 Hayes Rd
Shelby TWP, MI 48315-4405
Phone
(586) 532-9602
Fax
(586) 439-5380
NPI assigned
Dec 5, 2025
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KSS OF SHELBY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Julie Marie MartelNPI 1114107463
Title
Owner
Phone
(248) 408-6004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

48875 Hayes Rd
Shelby TWP, MI 48315-4405

Mailing address

1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250528000244 MI DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 9335218619 1 other NPI on this enrollment
Practice locations: Shelby TWP, MI

Other NPIs with the same Medicare PAC ID 1

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

  • KSS of Shelby LLC

    dba Healthquest Physical Therapy & Wellness

    • Physical Therapy Clinic/Center
    • Shelby Township, MI
    • NPI 1770788739

    9335218619

    Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

  • KSS of Shelby LLC

    dba Healthquest Physical Therapy & Wellness

    • Physical Therapy Clinic/Center
    • Shelby Township, MI
    • NPI 1770788739

    O20250528000244

    Same enrollment

National Provider Directory

National Provider Directory
Part of
KSS of Shelby LLC

Locations

20229 E 9 Mile Rd
#240
Saint Clair Shores, MI 48080
Phone (586) 265-5252

48875 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-9602

7009 Chicago Rd
Warren, MI 48092
Phone (586) 816-9800

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.

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1902769029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093708",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48875 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154405",
            "telephone_number": "586-532-9602",
            "fax_number": "586-439-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSS OF SHELBY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KSS OF SHELBY LLC",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MARTEL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-408-6004"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.