Mendelson Kornblum Southfield Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MENDELSON KORNBLUM SOUTHFIELD PHYSICAL THERAPY PLLC

Practice address

20475 W 10 Mile Rd
Suite 101
Southfield, MI 48075-6105

Phone

(734) 542-9770

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Stephen Mendelson, M.D.

Title

President

Phone

(734) 542-9770

Specialties & licenses 1

Addresses

Other names 1

• MKS PHYSICAL THERAPY Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mendelson Orthopedics PC

  • Orthopaedic Surgery Physician
  • Sterling Heights, MI
  • NPI 1720395205

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Ann Wilkins, DPT

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1164664397
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1851696900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20475 W 10 MILE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756105",
            "telephone_number": "734-542-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 W 10 MILE RD",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756105",
            "telephone_number": "734-542-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDELSON KORNBLUM SOUTHFIELD PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-542-9770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MKS PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharynn Meltzer, LMSW
• Melvin a Lester, M.D., P.C.
• Melvin C. Murphy, M.D. P.C.
• Melvin L. Hollowell, M.D., F.a.C.S.
• Alexis Marie Mencotti, PA-C
• Mendelson Orthopedics PC
• Mendelson Orthopedics PC
• Mendelson Orthopedics, PC
• Avery Harris Mendelson, M.D.
• Vicki R Mendelson, P.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.