Kanitz Physio and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KANITZ PHYSIO AND WELLNESS, LLC

Practice address

3375 5 Mile Rd
South Lyon, MI 48178-9662

Phone

(734) 735-8317

NPI assigned

Apr 27, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Kanitz, DCNPI 1679888739

Title

Owner

Phone

(734) 735-8317

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Michelle Joan Kanitz, DPT

  • Physical Therapist
  • South Lyon, MI
  • NPI 1679888739
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1992493993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 5 MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789662",
            "telephone_number": "734-735-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 5 MILE RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481789662",
            "telephone_number": "734-735-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANITZ PHYSIO AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "KANITZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-735-8317",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juli Johnson, N.D.
• Erin M Jones, PTA
• Shirley Anne Kadoura, REGISTERED DIETITIAN
• Monica Kandola, M.D
• Anita Kangarlu, MD
• Michelle Joan Kanitz, DPT
• Larry Kaplan Kaplan
• Leah Kimberly Keating, PHYSICAL THERAPIST
• Alyssa Keeling, DC
• Stephanie Keil, D.D.S

• Physical Therapist in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.