SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN (NPI# 1487067260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487067260 |
| Entity Type | Organization |
| Organization Name | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Other Organization Name | SHELBY PHYSICAL THERAPY |
| Practice Address |
17900 23 Mile Rd Suite 401 Macomb MI 48044-1161 |
| Mailing Address |
2800 Livernois Rd Suite 500 Troy MI 48083-1215 |
| Practice Telephone | 5868689040 |
| Practice Fax Number | 5868689013 |
| Mailing Telephone | 2486808000 |
| Mailing Fax Number | 2486808030 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | KIM ANN LEBETZ (DIRECTOR) |
| Authorized Official Telephone | 2486808091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 30789 | 01 |
| Other Name | Type Code |
|---|---|
| Shelby Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194248989 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 1225 S Latson Rd Ste 130, Howell, MI 48843-7658 | 2017-07-24 |
| 1003281072 | Seton Health Corporation of Southeastern Michigan | Family Medicine | 955 Fred Moore Hwy, St Clair, MI 48079-4963 | 2015-12-02 |
| 1801209978 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 17900 23 Mile Rd Ste 101, Macomb, MI 48044-1161 | 2014-06-06 |
| 1528585130 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 27483 Dequindre Rd, Madison Heights, MI 48071-3491 | 2017-08-24 |
| 1790208528 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 17900 23 Mile Rd Ste 101, Macomb, MI 48044-1161 | 2017-07-24 |
| 1518331131 | Seton Health Corporation of Southeastern Michigan | Emergency Medicine | 10127 Marine City Hwy, Ira, MI 48023-1009 | 2015-11-19 |
| 1316350192 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2014-06-09 |
| 1669885521 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 4777 E Outer Dr, Urgent Care Department, Detroit, MI 48234-3241 | 2014-06-09 |
| 1578976437 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 5575 Conner St, Detroit, MI 48213-6400 | 2014-06-09 |
| 1598177065 | Seton Health Corporation of Southeastern Michigan | Internal Medicine | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2014-06-02 |
| Street Address |
17900 23 MILE RD SUITE 401 |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124006333 | Massimiliano P Vitale | Internal Medicine | 17900 23 Mile Rd, Suite 303, Macomb, MI 48044-1161 | 2006-01-06 |
| 1679106736 | Rose Evelyn Starceski | Physical Therapist | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2020-02-18 |
| 1912414756 | Stephanie Lim | Nurse Practitioner | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2018-01-02 |
| 1851846257 | Premier Foot & Ankle Pllc | Podiatrist | 17900 23 Mile Rd, Suite 204, Macomb, MI 48044-1161 | 2016-08-16 |
| 1295148070 | Seton Health Corporation of Southestern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2014-06-09 |
| 1033476767 | Ferah Adil Dalaly | Internal Medicine | 17900 23 Mile Rd, Suite 303, Macomb, MI 48044-1161 | 2012-04-19 |
| 1548579394 | Joseph Martin Samojedny IIi | Pharmacist | 17900 23 Mile Rd, Suite 104, Macomb, MI 48044-1161 | 2010-09-28 |
| 1154558245 | Stefano Matthew Militello | Podiatrist | 17900 23 Mile Rd, Ste 204, Macomb, MI 48044-1161 | 2009-06-16 |
| 1720233968 | Medical Resource Group | Clinic/Center | 17900 23 Mile Rd, Suite 406, Macomb, MI 48044-1161 | 2008-12-01 |
| 1689839490 | Rachel Marie Vandenhemel | Physical Therapy Assistant | 17900 23 Mile Rd, Macomb, MI 48044-1161 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184188443 | Age Rehab & Medical Fitness | Clinic/Center | 1701 W Jackson St Ste C, Macomb, IL 61455-3175 | 2019-01-30 |
| 1144515768 | G N Therapy, PC | Clinic/Center | 55264 Nile Way, Macomb, MI 48042-6194 | 2011-06-11 |
| 1811980162 | Complete Rehab Services, Inc | Clinic/Center | 51226 Romeo Plank, Macomb, MI 48042 | 2005-08-23 |
| 1750527438 | Vms of Macomb Twp LLC | Clinic/Center | 23211 21 Mile Rd, Macomb, MI 48042 | 2008-12-30 |
| 1063624757 | Medical Resources Group | Clinic/Center | 17900 23 Mile Rd, Suite 401, Macomb, MI 48044-1161 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
| 1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
| 1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
| 1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
| 1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
| 1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
| 1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
| 1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN.
| 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.