Individual provider Active NPI

Elizabeth Ann Wilkins, DPT

  • Physical Therapist
  • Shelby Township, MI
National Provider Identifier
1164664397
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014427 Issued in MI
Practice address
45300 Mound Rd Ste 100
Shelby Township, MI 48317-5109
Phone
(586) 439-6310
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 5501014427 MI Primary

Addresses

Primary practice location

45300 Mound Rd Ste 100
Shelby Township, MI 48317-5109

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090501000411 MI Practitioner - Physical Therapist in Private Practice 2860540713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
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)

13488 E 11 Mile Rd
Mendelson Kornblum Physical Therapy
Warren, MI 48089-1366
Phone (586) 439-6243

35735 Mound Rd
Sterling Heights, MI 48310-4728

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014427MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince May 1, 2011 Accepting new patients
Mendelson Orthopedics PC CurrentSince May 1, 2011 Accepting new patients
Mendelson Kornblum Southfield Physical Therapy PLLC Physical Therapist PastSince Aug 1, 2014 Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients
KKS of Michigan LLC PastSince Nov 1, 2007 Accepting new patients

Locations

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

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

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

5107 Rochester Rd
Troy, MI 48085
Phone (248) 723-2477

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

13488 E 11 Mile Rd
Warren, MI 48089
Phone (586) 439-6243

27472 Schoenherr Rd
Ste 140
Warren, MI 48088
Phone (586) 439-6242

Organizations & group practices 5

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1164664397",
    "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": "45300 MOUND RD STE 100",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483175109",
            "telephone_number": "586-439-6310"
        }
    ],
    "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.