NPIMap

Organization Active NPI

Mendelson Orthopedic Physical Therapy

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Livonia, MI
National Provider Identifier
1326196650
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
MENDELSON ORTHOPEDIC PHYSICAL THERAPY
Practice address
14555 Levan Rd
Suite 215
Livonia, MI 48154-5083
Phone
(734) 542-0200
NPI assigned
Jan 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Herbert Mendelson, M.D.
Title
Director
Phone
(734) 542-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X MI Primary

Addresses

Primary practice location

14555 Levan Rd
Suite 215
Livonia, MI 48154-5083

Mailing address

14555 Levan Rd
Suite 215
Livonia, MI 48154-5083
Phone (734) 542-0200

Other identifiers 1

IdentifierTypeStateIssuer
2020755MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Mendelson Orthopedics PC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326196650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 215",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-542-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 215",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-542-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDELSON ORTHOPEDIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-542-0200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020755",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.