NPIMap

Organization Active NPI

Pediatric Motorwerks Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Shelby Township, MI
National Provider Identifier
1922532571
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501017752 Issued in MI
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
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Brandy Miller-WilksNPI 1760667471
Title
Physical Therapist/Owner
Phone
(231) 855-2809

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
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 Directory

Locations

50920 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 307-4757

6300 22 Mile Rd
Ste 5
Shelby Township, MI 48317
Phone (586) 330-0872

Practitioners & affiliated clinicians

Practitioners 5

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.

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.

Verify at the official NPI Registry.