Mark Cundiff, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

MC011558 Issued in MI

Practice address

5915 Ray St. M22, Unit #5
Glen Arbor, MI 49636

Phone

(231) 334-0008

Fax

(231) 334-0108

NPI assigned

Jul 10, 2006

Last updated

May 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enhanced Physical Therapy Incorporated

  • Physical Therapist
  • Glen Arbor, MI
  • NPI 1225114176
  Medicare reassignment NPD Authorized official
• James W Leete MD PC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1598770240
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495152000000",
    "number": "1710911557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "49636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 RAY ST. M22, UNIT #5",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "49636",
            "telephone_number": "231-334-0008",
            "fax_number": "231-334-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "MC011558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cundiff, PT
• Kiernan Mark Dean-Hall
• Enhanced Physical Therapy Incorporated
• Heather Marie Ford, LMSW
• Keith Alan Gaede, R.PH.
• Glen Arbor Township (Glen Lake Fire Department)

• Physical Therapist in Glen Arbor, MI
• Providers in Glen Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; 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.