Active NPI
Lisa R Mitchell
- Physical Therapist
- Cassville, MO
National Provider Identifier
1144577370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01849
- Practice address
- 1501 Main St
Cassville, MO 65625-1154 - Phone
- (417) 847-2221
- Fax
- (417) 847-4009
- NPI assigned
- Aug 7, 2012
- Last updated
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01849 | MO | Primary |
Addresses
Primary practice location
1501 Main St
Cassville, MO 65625-1154
Mailing address
1501 Main St
Cassville, MO 65625-1154
Phone (417) 847-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01849 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1144577370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 MAIN ST",
"city": "CASSVILLE",
"state": "MO",
"postal_code": "656251154",
"telephone_number": "417-847-2221",
"fax_number": "417-847-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 MAIN ST",
"city": "CASSVILLE",
"state": "MO",
"postal_code": "656251154",
"telephone_number": "417-847-2221",
"fax_number": "417-847-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "LISA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "01849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cassville, MO
- Mercy Hospital Cassville
- Mercy Hospital Cassville
- Mercy Hospital Springfield (Mercy Medical Supply)
- Meridian Healthcare LLC (Roaring River Health & Rehab)
- Melissa E Miller, COTA/L
- Mobile Imaging Solutions, LLC
- Kristy Jo Montz-Goble, DC
- Crystal Neises, APRN
- Mitchel Norton, DO
- Rhonda J Orrell, RD,MS,LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.