Mitchell Schroeder LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MITCHELL SCHROEDER LLC

Practice address

2505 Walnut St Ste 100
Boulder, CO 80302-5744

Phone

(303) 736-9343

Fax

(844) 872-5595

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Mitchell SchroederNPI 1659760619

Title

Owner

Phone

(303) 728-4177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Owen Schroeder, PT, DPT, ATC

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1659760619

  CO

  Medicare reassignment NPD Authorized official
• John Michael Minen, D.C.

  • Sports Physician Chiropractor
  • Boulder, CO
  • NPI 1548626088
  NPD (past)
• Nicole Hoyun Wan, DC

  • Sports Physician Chiropractor
  • Austin, TX
  • NPI 1487313607
  NPD (past)

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1164023768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 WALNUT ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025744",
            "telephone_number": "303-736-9343",
            "fax_number": "844-872-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 WALNUT ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025744",
            "telephone_number": "303-736-9343",
            "fax_number": "844-872-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL SCHROEDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-728-4177"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald A. Misch, M.D.
• Kalyani Mishra, MASTER OF PHILOSOPHY
• Andrew V Misiorowski, PT, DPT
• William Patrick Misischia, D.M.D.
• Mitchell a Baris, PH D, PC
• Anna Rebecca Mitchell, PT
• Deanne Mitchell, R. PH.
• Jill Mitchell, LCSW
• Noelle Mitchell, MA CCC-SLP
• Vandi Lynn Mitchell

• Physical Therapy Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Physical Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.