Mindsetpt LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MINDSETPT LLC

Practice address

6955 W Q Ave
Kalamazoo, MI 49009-8942

Phone

(269) 301-0862

Fax

(269) 525-2331

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Ellen W Hector, PT, DPT, COMT, ITPT

Title

Owner, Physical Therapist

Phone

(248) 361-9693

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MindsetPT Former legal business name

Locations

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1780142471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 PAW PAW LAKE DR",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490879436",
            "telephone_number": "248-361-9693",
            "fax_number": "269-525-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 W Q AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098942",
            "telephone_number": "269-301-0862",
            "fax_number": "269-525-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6926 West Q Avenue",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490094908",
            "country_code": "US",
            "telephone_number": "269-301-0862",
            "fax_number": "269-525-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDSETPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HECTOR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-361-9693",
        "authorized_official_credential": "PT, DPT, COMT, ITPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LARA",
            "identifier": "802227054",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindsetPT",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MindsetPT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Buffi Marie Minehart, MPT
• Jennifer Ann Miner
• Ryan Jordan Minier, PA-C
• David Brandon Minnick, DO
• Christopher Joseph Minnis, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.