Duncan Thomas Mitchell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61879 Issued in OR

Practice address

Mitchell Physical Therapy
4506 SE King Road
Milwaukie, OR 97222-5233

Phone

(503) 496-4550

Fax

(503) 496-4551

NPI assigned

Jul 30, 2014

Reactivated

Jul 12, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mitchell Physical Therapy IncGroup PAC ID 2860437027, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Mitchell Physical Therapy Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1073657391
  Medicare reassignment Care Compare group NPD
• Stephen a Mitchell

  • Physical Therapist
  • Milwaukie, OR
  • NPI 1194058362
  NPD (past)

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1114335403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4506 SE KING ROAD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225233",
            "telephone_number": "503-496-4550",
            "fax_number": "503-496-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MITCHELL PHYSICAL THERAPY",
            "address_2": "4506 SE KING ROAD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972225233",
            "telephone_number": "503-496-4550",
            "fax_number": "503-496-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DUNCAN",
        "middle_name": "THOMAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "deactivation_date": "2021-06-11",
        "reactivation_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "41456",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Lee Miracle, ANP-C; GNP-C
• Elahe Gheisari Mireshghi
• Rozina A Misganaw
• Michael Mishler
• Belinda Misterek, RPH
• Kristin Mitchell
• Scott A Mitchell, RPH CGP
• Emily Miyasako, DO
• Andrew Park Miyazato, OTD
• Marisa Ann Mocny

• Physical Therapist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.