Princess Delvania Mitchell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305210938 Issued in VA

Practice address

8270 Willow Oaks Corporate Drive
Fairfax, VA 22031

Phone

(571) 423-4864

NPI assigned

Sep 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1104150853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DRIVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "571-423-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DRIVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "571-423-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042434",
            "country_code": "US",
            "telephone_number": "423-622-2459",
            "fax_number": "423-622-4879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1480 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042434",
            "country_code": "US",
            "telephone_number": "423-622-2459",
            "fax_number": "423-622-4879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PRINCESS",
        "middle_name": "DELVANIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016543",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872155",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sulman A Mirza, M.D.
• Alina Mirzayan
• Arun P Mishra
• Leyla Missaghi, PA-C
• Mitchel D. Krieger, M.D., F.a.C.S., P.C.
• Sara Mitchell
• Sheri A. Mitschelen, M.S.W., R.P.T.-S
• Ryan Glenn Miyamoto, M.D.
• Laura Kristen Mlynarski, PHD
• Chantana Melanie Moapichai, OD

• All providers in Fairfax, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.