Organization Active NPI

Telefocus Physical Therapy, LLC

  • Physical Therapist
  • Kalamazoo, MI
National Provider Identifier
1497357974
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TELEFOCUS PHYSICAL THERAPY, LLC
Practice address
4030 Bronson Blvd
Kalamazoo, MI 49008-3134
Phone
(269) 464-0044
Fax
(844) 906-2440
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Dr. Melissa Maidlow Brown, MPT, DPTNPI 1083944763
Title
Owner, Physical Therapist
Phone
(269) 464-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

4030 Bronson Blvd
Kalamazoo, MI 49008-3134

Mailing address

4030 Bronson Blvd
Kalamazoo, MI 49008-3134
Phone (269) 464-0044

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1497357974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 BRONSON BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083134",
            "telephone_number": "269-464-0044",
            "fax_number": "844-906-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BRONSON BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083134",
            "telephone_number": "269-464-0044",
            "fax_number": "844-906-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEFOCUS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MAIDLOW",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "269-464-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MPT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.