Individual provider Active NPI

Aaron Arnold Munderloh, P.T.

  • Physical Therapist
  • Alma, MI
National Provider Identifier
1821118928
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008089 Issued in MI
Practice address
7338 N Alger Rd
Alma, MI 48801-1072
Phone
(989) 463-0345
Fax
(989) 466-5472
NPI assigned
Mar 30, 2007
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501008089 MI Primary

Addresses

Primary practice location

7338 N Alger Rd
Alma, MI 48801-1072

Mailing address

320 Wilson Dr
Saint Louis, MI 48880-9768
Phone (989) 717-1419

Other identifiers 1

IdentifierTypeStateIssuer
650B910460OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000114 MI Practitioner - Physical Therapist in Private Practice 5395752554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ithaca Physical Therapy, IncGroup PAC ID 3779879994, 7 clinicians

Practice addresses (Care Compare)

203 Dilts Rd
Ithaca, MI 48847-9475
Phone (989) 875-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ithaca Physical Therapy, Inc Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
James Randolph Tilton Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients

Locations

733 W Warwick Dr
Unit A
Alma, MI 48801
Phone (989) 423-0672

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1821118928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WILSON DR",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488809768",
            "telephone_number": "989-717-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7338 N ALGER RD",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011072",
            "telephone_number": "989-463-0345",
            "fax_number": "989-466-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDERLOH",
        "first_name": "AARON",
        "middle_name": "ARNOLD",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650B910460",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.