Healthcare Provider Details

I. General information

NPI: 1134082357
Provider Name (Legal Business Name): MOTOR CITY ORTHOPEDICS AND SPORTS MEDICINE INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26850 PROVIDENCE PKWY STE 260
NOVI MI
48374-1256
US

IV. Provider business mailing address

26850 PROVIDENCE PKWY STE 260
NOVI MI
48374-1256
US

V. Phone/Fax

Practice location:
  • Phone: 248-465-5140
  • Fax:
Mailing address:
  • Phone: 248-465-5140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. TODD FRUSH
Title or Position: PRESIDENT
Credential: MD
Phone: 248-465-5140