Jeremy Mitchell

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10986PT Issued in AZ

Practice address

805 E Walnut Ave
Lompoc, CA 93436-7027

Phone

(805) 735-3714

NPI assigned

Aug 19, 2014

Last updated

Nov 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.38 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

71.26

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kenneth Daniel Channer, D.P.T.

  • Specialist
  • Santa Maria, CA
  • NPI 1356621536
  Medicare reassignment
• Beck and Cale Physical Therapy of Santa Maria

  • Physical Therapy Clinic/Center
  • Santa Maria, CA
  • NPI 1912321431
  NPD (past)
• Carnahan Therapy the Work Center, Inc.

  • Occupational Therapist
  • Lompoc, CA
  • NPI 1407970791
  NPD (past)
• Coastal Hand & Occupational Therapy Inc

  • Occupational Therapist
  • Santa Maria, CA
  • NPI 1366157877

  Orthopedic

  NPD (past)
• Coastal Hand and Occupational Therapy

  • Occupational Therapist
  • Santa Maria, CA
  • NPI 1083878854
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1003215682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 RIVERDALE CT APT 236",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127775",
            "telephone_number": "805-478-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WALNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367027",
            "telephone_number": "805-735-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "10986PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oboli Minasse, PHAMD
• Alexia Yaire Miranda
• Mission Orthopedics Surgery and Sports Medicine
• Damani Muata Mitchell, DDS
• James Edward Mitchell
• Shereen Mizany, OTR / L, MOT
• Haley Mogensen
• Daniel S Moghadam, MD
• Karim Ibrahim Mohamed, MD
• Kiele Teresa Mohre, DO

• Orthopedic Physical Therapist in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.