Active NPI
Melissa Mitchell, DPT
- Physical Therapist
- Vandalia, OH
National Provider Identifier
1003291303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008490
- Practice address
- 830 Falls Creek Dr
Vandalia, OH 45377-8600 - Phone
- (937) 890-9235
- Fax
- (937) 890-9239
- NPI assigned
- Jul 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008490 | OH | Primary |
Addresses
Primary practice location
830 Falls Creek Dr
Vandalia, OH 45377-8600
Mailing address
830 Falls Creek Dr
Vandalia, OH 45377-8600
Phone (937) 890-9235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008490 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1003291303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 FALLS CREEK DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453778600",
"telephone_number": "937-890-9235",
"fax_number": "937-890-9239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 FALLS CREEK DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453778600",
"telephone_number": "937-890-9235",
"fax_number": "937-890-9239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MELISSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT008490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vandalia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.