Susan Jane Mitchell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

030302 Issued in NY

Practice address

122 W Court St Ste 106
Ithaca, NY 14850-4165

Phone

(607) 288-2205

NPI assigned

Apr 1, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Worob Chiropractic PLLC

  • Chiropractor
  • Ithaca, NY
  • NPI 1982996336
  NPD

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1003378027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 TRUMANSBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501314",
            "telephone_number": "607-288-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COURT ST STE 106",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504165",
            "telephone_number": "607-288-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "030302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindwell Psychology, LLP
• Bailey Minges
• Mary Angelina Mirabella, MS, OTR/L
• Deborah Mitchell
• Robert L Mitchell, MD
• Anne Modlin
• Heidi Lynn Moesch
• Aliasghar Mohyuddin, M.D.
• Monica Dacey Molina, LPN
• Molino Physical Therapy, PLLC

• Massage Therapist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.