Enhanced Physical Therapy Incorporated

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENHANCED PHYSICAL THERAPY INCORPORATED

Practice address

5915 S Ray St Unit 5
Glen Arbor, MI 49636-5106

Phone

(231) 933-9415

NPI assigned

Oct 31, 2006

Last updated

Apr 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark CundiffNPI 1710911557

Title

Physical Therapists

Phone

(231) 334-0008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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.

• Mark Cundiff, PT

  • Physical Therapist
  • Glen Arbor, MI
  • NPI 1710911557
  Medicare reassignment NPD Authorized official
• Jennifer Cundiff, PT

  • Physical Therapist
  • Glen Arbor, MI
  • NPI 1801820642
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1225114176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "496360681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 S RAY ST UNIT 5",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "496365106",
            "telephone_number": "231-933-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED PHYSICAL THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "CUNDIFF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICAL THERAPISTS",
        "authorized_official_telephone_number": "231-334-0008"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cundiff, PT
• Mark Cundiff, PT
• Kiernan Mark Dean-Hall
• Heather Marie Ford, LMSW
• Keith Alan Gaede, R.PH.
• Glen Arbor Township (Glen Lake Fire Department)
• Charles J Kinzel, PHARMACIST
• Jessica A Myers, D.C.

• Physical Therapist in Glen Arbor, MI
• Providers in Glen Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.