MEDICARE: KIDS IN MOTION PEDIATRIC THERAPY SERVICES LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467559740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDS IN MOTION PEDIATRIC THERAPY SERVICES LTD.

Provider Business Mailing Address
First Line	:	2636 S MILFORD RD
Second Line	:
City	:	HIGHLAND
State	:	MI
Zip	:	48357-4938
Country	:	US
Telephone Number	:	248-684-9610
Fax Number	:	248-684-9611

Provider Business Practice Location Address
First Line	:	2636 S MILFORD RD
Second Line	:
City	:	HIGHLAND
State	:	MI
Zip	:	48357-4938
Country	:	US
Telephone Number	:	248-684-9610
Fax Number	:	248-684-9611

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MARY THERESE HYDORN
Credential	:	PT
Telephone Number	:	248-684-9610

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/24/2012

Similar Medicare Providers

1659370674 — DR. ROBERTA ANN BOBAL-SAVAGE M.D.
Practice Location Address:

2632 S MILFORD RD
HIGHLAND, MI
48357-4938

Practice Phone: 248-684-5510
Practice Fax: 248-684-5220

1538149679 — MARC P BOCKNEK D.O.
Practice Location Address:

2632 S MILFORD RD
HIGHLAND, MI
48357-4938

Practice Phone: 248-684-5510
Practice Fax: 248-684-5220

1902878283 — TOTAL HEALTH CHIROPRACTIC PC
Practice Location Address:

2624 S MILFORD RD
HIGHLAND, MI
48357-4938

Practice Phone: 248-684-4449
Practice Fax: 248-684-4413

1912033754 — DR. MICHAEL SADOWSKI D.C.
Practice Location Address:

2624 S MILFORD RD
HIGHLAND, MI
48357-4938

Practice Phone: 248-684-4449
Practice Fax: 248-684-4413

1720109804 — TERESA J PESCI PT
Practice Location Address:

2636 S MILFORD RD
HIGHLAND, MI
48357-4938

Practice Phone: 248-684-9611
Practice Fax:

1609098391 — MRS. KYLE MINIER COTA
Practice Location Address:

2636 S MILFORD RD
HIGHLAND, MI
48357-4938

Practice Phone: 248-684-9610
Practice Fax:

Directions to “KIDS IN MOTION PEDIATRIC THERAPY SERVICES LTD. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.