Jonathan S Mitchell, PT,ATC

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT06910 Issued in LA

Practice address

129 Corporate Dr
Covington, LA 70433-1057

Phone

(985) 249-6111

Fax

(985) 249-6109

NPI assigned

Sep 21, 2006

Last updated

May 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covington Physical Therapy CenterGroup PAC ID 9335243476, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covington Physical Therapy Center

  dba CARE Physical Therapy

  • Physical Therapy Clinic/Center
  • Covington, LA
  • NPI 1740347368
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1093814667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CORPORATE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331057",
            "telephone_number": "985-249-6111",
            "fax_number": "985-249-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CORPORATE DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331057",
            "telephone_number": "985-249-6111",
            "fax_number": "985-249-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "credential": "PT,ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "PT06910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "PT06910",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie C Miranda, SLP
• Melanie P Mire, PA-C
• Mis Counseling LLC
• Danielle Wood Mistretta, LPC
• Janero Mitchell
• Sarah Mitchell, DPT
• Thomas Mitchell, LPC, NCC
• Stephen G Mixon, NP
• Whitney Mixon, MS,LPC,NCC
• Edward Kevin Mizell, PT

• Specialist in Covington, LA
• Providers in Covington, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.