Stefanie Mitchell

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009590 Issued in MI

Practice address

30903 W 10 Mile Rd Ste B
Farmington Hills, MI 48336

Phone

(248) 893-6192

NPI assigned

Dec 19, 2017

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1013423508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30903 W 10 MILE RD STE B",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30903 W 10 MILE RD STE B",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48336",
            "telephone_number": "248-893-6192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012495",
            "country_code": "US",
            "telephone_number": "313-745-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEFANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyla Mitchell
• Raiven Mitchell
• Saffere Mitchell
• Sateara Mitchell
• Shanielle Mitchell
• Stephanie Mitchell
• Steve Mitchell
• Tamia Mitchell
• Theresa Mitchell
• Tia Mitchell

• Occupational Therapist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.