Mend Physiotherapy LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1102303 Issued in KS

Legal business name

MEND PHYSIOTHERAPY LLC

Practice address

3700 E Douglas Ave
30
Wichita, KS 67208-3700

Phone

(316) 687-6363

NPI assigned

Sep 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Camille Montague Snyder, PT, DPT

Title

Managing Member

Phone

(316) 687-6363

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329004800000",
    "number": "1578896841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 E DOUGLAS AVE",
            "address_2": "STE 30",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083700",
            "telephone_number": "316-687-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 E DOUGLAS AVE",
            "address_2": "30",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083700",
            "telephone_number": "316-687-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEND PHYSIOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2012-02-12",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "MONTAGUE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "316-687-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "KS",
            "license": "11-02303",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "1102303",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Glenn Melton, ABOC
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• Goretti Mendez Vallejo, LMSW
• Leticia Mendez-Noriega, PHARMD
• Juan Pablo Mendez, C.R.N.A.
• Rocio S Mendez, PHARM.D.
• Amber Mendoza, MOTR/L

• All providers in Wichita, KS
• Orthopedic Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; 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.