Active NPI
Pediatric Motorwerks Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Shelby Township, MI
National Provider Identifier
1922532571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5501017752
- Legal business name
- PEDIATRIC MOTORWERKS PHYSICAL THERAPY, LLC
- Practice address
- 50920 Van Dyke Ave
Shelby Township, MI 48317-1367 - Phone
- (586) 330-0872
- NPI assigned
- Apr 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandy Miller-Wilks
- Title
- Physical Therapist/Owner
- Phone
- (231) 855-2809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5501017752 | MI | Primary |
Addresses
Primary practice location
50920 Van Dyke Ave
Shelby Township, MI 48317-1367
Mailing address
50920 Van Dyke Ave
Shelby Township, MI 48317-1367
Phone (586) 330-0872
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Shelby Township, MI
- NPI 1538805833
-
- Occupational Therapist
- Shelby Township, MI
- NPI 1407305683
-
- Occupational Therapist
- Shelby Township, MI
- NPI 1972654630
-
- Occupational Therapist
- Royal Oak, MI
- NPI 1023699154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1922532571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50920 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483171367",
"telephone_number": "586-330-0872",
"fax_number": "866-630-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50920 VAN DYKE AVE",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483171367",
"telephone_number": "586-330-0872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC MOTORWERKS PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-19",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "MILLER-WILKS",
"authorized_official_first_name": "BRANDY",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "231-855-2809"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": "5501017752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.