Individual provider Active NPI

Chris S Kakos, DPT

  • Physical Therapist
  • Macomb, MI
National Provider Identifier
1124314836
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015622 Issued in MI
Practice address
46401 Romeo Plank Rd
Suite 5
Macomb, MI 48044-3510
Phone
(586) 333-5704
Fax
(586) 948-8008
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501015622 MI Primary

Addresses

Primary practice location

46401 Romeo Plank Rd
Suite 5
Macomb, MI 48044-3510

Mailing address

46401 Romeo Plank Rd
Suite 5
Macomb, MI 48044-3510
Phone (586) 333-5704

Other practice location 1

600 Fort St Ste 100
Port Huron, MI 48060-3942
Phone (810) 987-9711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161229000426 MI Practitioner - Physical Therapist in Private Practice 9032490370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

Merit-based Incentive Payment System (MIPS)

Final score
90.82 of 100Reported as apm
Quality
81.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince Oct 1, 2024 Accepting new patients
Mendelson Orthopedics PC Current Accepting new patients
Mendelson Orthopedics PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

7684 Solutions Ctr
#777684
Chicago, IL 60677

14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1124314836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46401 ROMEO PLANK RD",
            "address_2": "SUITE 5",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443510",
            "telephone_number": "586-333-5704",
            "fax_number": "586-948-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46401 ROMEO PLANK RD",
            "address_2": "SUITE 5",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443510",
            "telephone_number": "586-333-5704",
            "fax_number": "586-948-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Fort St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480603942",
            "country_code": "US",
            "telephone_number": "810-987-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKOS",
        "first_name": "CHRIS",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.