MATRX HEALTH & FITNESS, LLC (NPI# 1598255960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598255960 |
| Entity Type | Organization |
| Organization Name | MATRX HEALTH & FITNESS, LLC |
| Practice Address |
16009 Leone Dr Macomb MI 48042-4063 |
| Practice Telephone | 5862323644 |
| Practice Fax Number | 2485790197 |
| Mailing Telephone | 5862323644 |
| Mailing Fax Number | 2485790197 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DR. KRYSTINA NICOLE MILLER (CEO) |
| Authorized Official Telephone | 5862323644 |
| Authorized Official Credential | PT, DPT, ATP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
5501015621 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18428 Pellett Dr, Fenton, MI 484308508 | 9894001152 | |
| 12304 Lake Rd, Otter Lake, MI 484649106 | 9894001152 |
| Street Address |
16009 LEONE DR |
| City | MACOMB |
| State | MI |
| Zip Code | 48042-4063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1437573177 | Michael D Pizzimenti | Physical Therapist | 23211 N 21 Mile Road, Macomb, MI 48042 | 2014-02-18 |
| 1518210707 | Kimberly Frances Hodor | Nurse Practitioner | 21840 23 Mile, Macomb, MI 48042 | 2012-10-25 |
| 1952628489 | Frank John Pugliesi | Obstetrics & Gynecology | 49730 S. Thunder Bay Circle, Macomb, MI 48042 | 2010-04-23 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
| 1780857870 | Ryan David Vinson | Physical Therapist | 23211 21 Mile Rd, Macomb, MI 48042 | 2008-04-09 |
| 1578690889 | Michael P Nedley | Dentist | 51218 Romeo Plank Rd, Macomb Township, MI 48042 | 2007-02-27 |
| 1477697027 | Amy Hanes | Psychologist | 21592 Doral Dr, Macomb, MI 48042 | 2007-02-16 |
| 1871672055 | Jeffrey Richard Teno | Dentist | 16800 24 Mile, Suite 5, Macomb, MI 48042 | 2006-11-06 |
| 1649389123 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 15250 24 Mile Road, Macomb, MI 48042 | 2006-08-29 |
| Find all providers in zip 48042 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562984 | Epic Management, LLC | Physical Therapist | 25865 W 12 Mile Rd Ste 101, Southfield, MI 48034-1817 | 2019-05-06 |
| 1871095273 | Mathew Alan Hoard | Physical Therapist | 3360 Hospital Rd, Saginaw, MI 48603-9622 | 2018-03-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1891297396 | Sean Patrick Murphy | Physical Therapist | 235 Wealthy St., Grand Rapids, MI 49503 | 2018-03-01 |
| 1497256531 | Natalie Brown | Physical Therapist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-23 |
| 1619425352 | Krystina Nicole Miller | Physical Therapist | 13473 Evergreen Dr, Otter Lake, MI 48464 | 2016-09-12 |
| 1215247150 | Nicole Heather Mitchell | Physical Therapist | 5832 N Lapeer Rd Ste Abc, North Branch, MI 48461-8144 | 2010-10-13 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1487211025 | Samuel Vanderwoude | Physical Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-05-20 |
| 1720556384 | Kristine Nicole Koch | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-11-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.