Jocelyn Mae Mitchelle, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

O-T0717 Issued in AR

Practice address

1210 Anna Sue Rd
Van Buren, AR 72956-2948

Phone

(479) 462-3177

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• In-Sync Pediatric Therapy

  • Clinic/Center
  • Van Buren, AR
  • NPI 1073704516
  NPD (past) Authorized official
• Mitchelle Therapy Services, Inc

  • Clinic/Center
  • Alma, AR
  • NPI 1891988820
  Authorized official Same address or phone

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1114126422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1586",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729211586",
            "telephone_number": "479-462-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ANNA SUE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562948",
            "telephone_number": "479-462-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELLE",
        "first_name": "JOCELYN",
        "middle_name": "MAE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "O-T0717",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "AOT1539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle N Minnis
• Jessica Rose Minton, APRN
• Amanda Lynn Mitchell
• Cameron James Mitchell, D.C.
• Autumn Skye Mitchelle
• Riley Wayne Mitchelle
• Abbigail Mizell
• Mobilecare Dental, PLLC
• Andrea Moellers, COTA
• Cara Mohundro, SLP

• Occupational Therapist in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.