Active NPI
Heidi Lynn Mitchell, MPT
- Physical Therapist
- Madera, CA
National Provider Identifier
1023185113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20451
- Practice address
- 1250 E Almond Ave
Madera, CA 93637-5606 - Phone
- (559) 675-5531
- Fax
- (559) 675-5578
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT20451 | CA | Primary |
Addresses
Primary practice location
1250 E Almond Ave
Madera, CA 93637-5606
Mailing address
47750 Road 417
Coarsegold, CA 93614-9279
Phone (559) 642-2256
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20451 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023185113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47750 ROAD 417",
"city": "COARSEGOLD",
"state": "CA",
"postal_code": "936149279",
"telephone_number": "559-642-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E ALMOND AVE",
"city": "MADERA",
"state": "CA",
"postal_code": "936375606",
"telephone_number": "559-675-5531",
"fax_number": "559-675-5578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "HEIDI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT20451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.