Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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St Clair Orthopaedics and Sports Medicine PC

Organization Physical Therapist · NPI 1073385738

St Clair Orthopaedics and Sports Medicine PC is a Physical Therapist in Saint Clair Shores, Michigan. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23829 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1186
Phone: (586) 773-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22701 Hall Rd Ste 100, Macomb, MI 48042-5270 — (586) 416-1300

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Hand Occupational Therapist Taxonomy 225XH1200X

Record details

NPI number1073385738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elaine Russette — Credentialing · (586) 552-4573
NPI enumeratedOctober 26, 2023
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-1186

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