Active NPI
Jennifer Cundiff, PT
- Physical Therapist
- Glen Arbor, MI
National Provider Identifier
1801820642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- JC010975
- Practice address
- 5915 S Ray St
Glen Arbor, MI 49636-5106 - Phone
- (231) 334-0008
- Fax
- (231) 334-0108
- NPI assigned
- Jul 10, 2006
- Last updated
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | JC010975 | MI | Primary |
Addresses
Primary practice location
5915 S Ray St
Glen Arbor, MI 49636-5106
Mailing address
PO Box 681
Glen Arbor, MI 49636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JC010975 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhanced Physical Therapy Incorporated | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Glen Arbor, MI
- NPI 1225114176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1801820642",
"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 S RAY ST",
"city": "GLEN ARBOR",
"state": "MI",
"postal_code": "496365106",
"telephone_number": "231-334-0008",
"fax_number": "231-334-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNDIFF",
"first_name": "JENNIFER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "JC010975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.