Srilatha Mittapelli

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019529 Issued in MI

Practice address

4605 Eagle Dr
Jackson, MI 49201-9747

Phone

(517) 416-8704

NPI assigned

Aug 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jackson Rehab Services LLC

  • Physical Therapist
  • Jackson, MI
  • NPI 1518645829
  NPD
• Great Lakes Senior Care, LLC

  • Home Health Agency
  • Jackson, MI
  • NPI 1497732473
  NPD (past)

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1376190488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N MARTIN LUTHER KING JR DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022558",
            "telephone_number": "800-379-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 EAGLE DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019747",
            "telephone_number": "517-416-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAPELLI",
        "first_name": "SRILATHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019529",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell S. Weisbrod, Psy.D., PLLC
• Carmen M Mitchell
• Melinda Mitchell, MD
• Melinda A Mitchell
• Rachel Mitchell
• John Mittelbrun, PT, DPT
• MJP Management LLC
• Mobile Massage of Michigan LLC.
• Mobile Medical Pros PLLC
• Mobile Vision LLC

• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.