Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan M Mendicelli, PTA

Individual provider Physical Therapy Assistant · NPI 1225658123

Jonathan M Mendicelli, PTA is a Physical Therapy Assistant in Holland, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

280 W 40th St
Holland, MI 49423-4664
Phone: (616) 796-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502006160 (MI)

Record details

NPI number1225658123
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 21, 2020
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address18256 Swiss Dr Apt 16, Spring Lake, MI 49456-9741

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