Orthopedic Spine and Sports Therapy Inc
NPI 1154519064 · Physical Therapy Clinic/Center · Shelby Township, MI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Orthopedic Spine and Sports Therapy Inc is a Physical Therapy Clinic/Center organization in Shelby Township, MI (NPI 1154519064).
Provider details
- NPI number
- 1154519064
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathy Clark, Credentialing(586) 992-1500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2022-07-21
- Certified
- 2021-11-16
Frequently asked questions
- What is Orthopedic Spine and Sports Therapy Inc's NPI number?
- Orthopedic Spine and Sports Therapy Inc's National Provider Identifier (NPI) is 1154519064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Orthopedic Spine and Sports Therapy Inc?
- Orthopedic Spine and Sports Therapy Inc is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Orthopedic Spine and Sports Therapy Inc located?
- Orthopedic Spine and Sports Therapy Inc's practice location on file with NPPES is 54945 Mound Rd, Shelby Township, MI 48316-6028.
- What is Orthopedic Spine and Sports Therapy Inc's phone number?
- The practice phone number listed in the NPPES registry for Orthopedic Spine and Sports Therapy Inc is (586) 992-1500.
- Does Orthopedic Spine and Sports Therapy Inc accept Medicare?
- Orthopedic Spine and Sports Therapy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Orthopedic Spine and Sports Therapy Inc?
- The authorized official listed on Orthopedic Spine and Sports Therapy Inc's NPPES record is Kathy Clark, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Orthopedic Spine and Sports Therapy Inc's NPI active?
- Yes — Orthopedic Spine and Sports Therapy Inc's NPI (1154519064) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.