Darrel Mittelstaedt, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT-6288 Issued in OH

Practice address

6801 Mayfield Rd
Hillcrest Medical Building #2 Suite 150
Mayfield HTS, OH 44124-2270

Phone

(440) 312-8529

Fax

(440) 312-6928

NPI assigned

Apr 9, 2014

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1184043887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MAYFIELD RD",
            "address_2": "HILLCREST MEDICAL BUILDING #2 SUITE 150",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242270",
            "telephone_number": "440-312-8529",
            "fax_number": "440-312-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MAYFIELD RD",
            "address_2": "HILLCREST MEDICAL BUILDING #2 SUITE 150",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242270",
            "telephone_number": "440-312-8529",
            "fax_number": "440-312-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELSTAEDT",
        "first_name": "DARREL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT-6288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Mills
• Paul M. Milo, DDS
• Vijay G Mistry, M.D.
• Kathleen A Mitchell, P.A.
• Robert W Mitri, PA-C
• Marina B. Molinari-Zuzek, M.D.
• Natia L Moore
• Ronald Edward Mooring
• Hakam Mousa
• Robert Murphy

• Orthopedic Physical Therapist in Mayfield HTS, OH
• Providers in Mayfield HTS, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.