Makenzie Kathryn Kunkel Mellentine, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17162-24 Issued in WI

Practice address

3340 S 113TH St Apt 8
West Allis, WI 53227-3964

Phone

(815) 990-8940

NPI assigned

May 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Makenzie Kathryn Kunkel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1023800893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 S 113TH ST APT 8",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273964",
            "telephone_number": "815-990-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 S 113TH ST APT 8",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273964",
            "telephone_number": "815-990-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLENTINE",
        "first_name": "MAKENZIE",
        "middle_name": "KATHRYN KUNKEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "17162-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "KUNKEL",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne F Mees, MSW, APSW
• Anjali Sudershan Krishan Mehta, DMD
• Malini A. Mehta, M.D.
• Amanda Meindl, M.D.
• Kimberly M Mellenthin, PHARMD
• Elizabeth Mellott, DO
• Mary Beth Menarek
• Marjorie Y Mendoza, LPC
• Rachel A Menges
• Alia Mentink

• Physical Therapist in West Allis, WI
• Providers in West Allis, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.