Tricia L Mitchell, DPT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1337 Lily Cache LN
Bolingbrook, IL 60490-4600

Phone

(630) 226-5110

Fax

(630) 226-5120

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brady, P.C.Group PAC ID 2163508227, 14 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 and National Provider Directory roles.

• Brady, P.C.

  • Physical Therapy Clinic/Center
  • Bolingbrook, IL
  • NPI 1598940827

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Ortho-Sport, Inc.

  • Physical Therapist
  • Forest Park, IL
  • NPI 1942379110
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144339359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 LILY CACHE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904600",
            "telephone_number": "630-226-5110",
            "fax_number": "630-226-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 LILY CACHE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904600",
            "telephone_number": "630-226-5110",
            "fax_number": "630-226-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPT, MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shunta M Milam, AAS, BA, M.ED, MBA
• Vincent Miller
• Mindful Occupational Therapy LLC
• Allison Mitch, DPT
• Donita Mitchell-Gage, CERTIFIED HAIR LOSS
• Roopali Mittal, DDS
• Stephen Mizera, PA-C
• MLB Dental, LTD.
• Sheik Shafiudeen Mohamed Meerasahib, SURGICAL ASSISTANT
• Mohamed Zaeem Mohamed Thahir

• Physical Therapist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Physical Therapist in Illinois

• 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.
• 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.