Individual provider Active NPI

Michael James Mendler, PT

  • Physical Therapist
  • Kokomo, IN
National Provider Identifier
1326160342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05005052A Issued in IN
Practice address
402 S Berkley Rd
Suite a
Kokomo, IN 46901-5172
Phone
(765) 457-1443
Fax
(765) 457-4990
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 05005052A IN Primary

Addresses

Primary practice location

402 S Berkley Rd
Suite a
Kokomo, IN 46901-5172

Mailing address

402 S Berkley Rd
Suite a
Kokomo, IN 46901-5172
Phone (765) 457-1443

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200106002296 IN Practitioner - Physical Therapist in Private Practice 9335573013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Dec 11, 2019 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Dec 11, 2019 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Sports Medicine and Physical Therapy Center Physical Therapist Past Accepting new patients

Locations

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

3229 Broadway
Gary, IN 46409
Phone (219) 326-2324

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326160342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S BERKLEY RD",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015172",
            "telephone_number": "765-457-1443",
            "fax_number": "765-457-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S BERKLEY RD",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015172",
            "telephone_number": "765-457-1443",
            "fax_number": "765-457-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDLER",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005052A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.