Active NPI
Melissa Maidlow Brown, MPT, DPT
- Physical Therapist
- Kalamazoo, MI
National Provider Identifier
1083944763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010759
- Practice address
- 4030 Bronson Blvd
Kalamazoo, MI 49008-3134 - Phone
- (269) 464-0044
- Fax
- (844) 906-2440
- NPI assigned
- Jan 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | L1391211 | MI | |
| Physical Therapist | 225100000X | 5501010759 | MI | Primary |
Addresses
Primary practice location
4030 Bronson Blvd
Kalamazoo, MI 49008-3134
Mailing address
4030 Bronson Blvd
Kalamazoo, MI 49008-3134
Phone (269) 464-0044
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mmbrown@telefocuspt.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210423000714 | MI | Practitioner - Physical Therapist in Private Practice | 1254749617 | Practice locations: Kalamazoo, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1391211 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telefocus Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Kalamazoo, MI
- NPI 1497357974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1083944763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 BRONSON BLVD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083134",
"telephone_number": "269-464-0044",
"fax_number": "844-906-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 BRONSON BLVD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083134",
"telephone_number": "269-464-0044",
"fax_number": "844-906-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MELISSA",
"middle_name": "MAIDLOW",
"name_prefix": "Dr.",
"credential": "MPT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-02",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "L1391211",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010759",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mmbrown@telefocuspt.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4030 Bronson Blvd",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490083134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.