SHELBY PHYSICAL THERAPY
NPI 1063624757
Clinic/Center - Physical Therapy in Macomb, MI

NPI Status: Active since May 04, 2007

Contact Information

17900 23 MILE RD
SUITE 401
MACOMB, MI
ZIP 48044
Phone: (586) 868-9040
Fax: (586) 868-9013

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 23D2293967
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-16-2025

About SHELBY PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Shelby Physical Therapy, a provider established in Macomb, Michigan operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1063624757 assigned on May 2007. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Shelby Physical Therapy. The authorized official of this NPI record is Sarah Starkel (Credentialing Coordinator)

NPI
1063624757
Provider Legal Name
ASCENSION MEDICAL GROUP MICHIGAN
Other Organization Name
SHELBY PHYSICAL THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17900 23 MILE RD SUITE 401 MACOMB, MI 48044
Location Phone
(586) 868-9040
Location Fax
(586) 868-9013
Mailing Address
PO BOX 14129 BELFAST, ME 04915
Mailing Phone
(248) 680-8000
Mailing Fax
(586) 868-9013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2007
Last Update Date
11-15-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License State
MI
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARAH STARKEL

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(248) 680-8121

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2293967
Facility Type
Physician Office
Certificate Effective Date
November 17, 2023
Certificate Expiration Date
November 16, 2025
Laboratory Director
CHAD STENNETT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shelby Physical Therapy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063624757, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 2 + 2 + 8 + 7 + 1 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1063624757.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
17900 23 MILE RD, SUITE #100
MACOMB, MI 48044
Pharmacist
17900 23 MILE RD, SUITE 104
MACOMB, MI 48044
Physical Therapist
17900 23 MILE RD, SUITE 401
MACOMB, MI 48044
Physical Therapist
17900 23 MILE RD, STE 401
MACOMB, MI 48044
Physical Therapist
17900 23 MILE RD, SUITE 401
MACOMB, MI 48044
Physical Therapy Assistant
17900 23 MILE RD, SUITE 401
MACOMB, MI 48044
Physical Therapy Assistant
17900 23 MILE RD, SUITE 401
MACOMB, MI 48044
Physical Therapist
17900 23 MILE RD, SUITE 401
MACOMB, MI 48044
Physical Therapist
17900 23 MILE RD, 401
MACOMB, MI 48044
Internal Medicine
17900 23 MILE RD, SUITE 303
MACOMB, MI 48044
Internal Medicine
17900 23 MILE RD, SUITE 303
MACOMB, MI 48044
Podiatrist
17900 23 MILE RD, STE 204
MACOMB, MI 48044
Physical Therapist
17900 23 MILE RD
MACOMB, MI 48044
Physical Therapy Assistant
17900 23 MILE RD
MACOMB, MI 48044
Podiatrist (Foot & Ankle Surgery)
17900 23 MILE RD, SUITE 204
MACOMB, MI 48044
Clinic/Center (Sleep Disorder Diagnostic)
17900 23 MILE RD, SUITE 406
MACOMB, MI 48044
Nurse Practitioner (Psychiatric/Mental Health)
17900 23 MILE RD
MACOMB, MI 48044
Clinic/Center (Sleep Disorder Diagnostic)
17900 23 MILE RD, SUITE 406
MACOMB, MI 48044
Physical Therapy Assistant
17900 23 MILE RD, SUITE 401
MACOMB, MI 48044
Clinic/Center (Physical Therapy)
17900 23 MILE RD, SUITE 401
MACOMB, MI 48044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063624757, enumerated as an "organization" on May 04, 2007.

The provider is located at 17900 23 MILE RD SUITE 401 MACOMB, MI 48044 and the phone number is (586) 868-9040.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.