NPIMap

Organization Active NPI

Mendelson Orthopedics PC

Doing business as mendelson kornblum orthopedic physical therapy

  • Orthopedic Physical Therapist
  • Warren, MI
National Provider Identifier
1023325438
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
L1181507 Issued in MI
Legal business name
MENDELSON ORTHOPEDICS PC
Doing business as
mendelson kornblum orthopedic physical therapy
Practice address
13488 E 11 Mile Rd
Warren, MI 48089-1366
Phone
(586) 439-6243
Fax
(586) 439-6240
NPI assigned
Sep 7, 2010
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MENDELSON ORTHOPEDICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Mendelson, M.D.NPI 1124018833
Title
Physician
Phone
(586) 261-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X L1181507 MI Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X L756863 MI
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X L1137382 MI

Addresses

Primary practice location

13488 E 11 Mile Rd
Warren, MI 48089-1366

Mailing address

500 Stephenson Hwy Ste 300
Troy, MI 48083-1118
Phone (586) 439-6258

Other practice location 1

35735 Mound Rd Ste 101
Sterling Heights, MI 48310-4728
Phone (586) 510-7997

Other names 1

  • mendelson kornblum orthopedic physical therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127000783 MI Part B Supplier - Clinic/Group Practice 8426008368 Receives reassigned benefits from 89 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warren, MI; Troy, MI; Sterling Heights, MI; Southfield, MI; Port Huron, MI; Livonia, MI

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mendelson Orthopedics P18 organizations share this tax ID, including this one
Part of
Mendelson Orthopedics P

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

36222 Five Mile Rd
Livonia, MI 48154

36622 5 Mile Rd
#102
Livonia, MI 48154

36622 5 Mile Rd
Ste 102
Livonia, MI 48154
Phone (734) 542-9770

13488 E 11 Mile Rd
Ste 130
Warren, MI 48089

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1023325438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STEPHENSON HWY STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831118",
            "telephone_number": "586-439-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13488 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891366",
            "telephone_number": "586-439-6243",
            "fax_number": "586-439-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35735 Mound Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104728",
            "country_code": "US",
            "telephone_number": "586-510-7997",
            "fax_number": "586-434-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDELSON ORTHOPEDICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENDELSON ORTHOPEDICS PC",
        "enumeration_date": "2010-09-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-261-1960",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "L1181507",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "L756863",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "L1137382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mendelson kornblum orthopedic physical therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "mendelson kornblum orthopedic physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.