Active NPI
Mindsetpt LLC
- Physical Therapist
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
- Last updated
- Jun 11, 2019
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6955 W Q Ave
Kalamazoo, MI 49009-8942
Mailing address
10926 Paw Paw Lake Dr
Schoolcraft, MI 49087-9436
Phone (248) 361-9693
Other practice location 1
6926 West Q Avenue
Kalamazoo, MI 49009-4908
Phone (269) 301-0862
Other names 1
- MindsetPT
National Provider Directory
National Provider DirectoryLocations
6955 W Q Ave
Kalamazoo, MI 49009
Phone (269) 301-0862
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Haslett, MI
- NPI 1164681631
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MindsetPT",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "MindsetPT",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 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.