NPIMap

Organization Active NPI

Stephen a Mitchell

  • Physical Therapist
  • Milwaukie, OR
National Provider Identifier
1194058362
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STEPHEN A MITCHELL
Practice address
6542 SE Lake Rd
Milwaukie, OR 97222-2138
Phone
(503) 496-4550
NPI assigned
Sep 4, 2009
Organization subpart
Yes
Parent organization
MITCHELL PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Authorized official

Name
Mr. Stephen A Mitchell, MSPTNPI 1538197991
Title
Owner/ Physical Therapist
Phone
(503) 777-1983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X OR Primary

Addresses

Primary practice location

6542 SE Lake Rd
Milwaukie, OR 97222-2138

Mailing address

5212 SE 52ND Ave
Portland, OR 97206-5629
Phone (503) 777-1983

Other names 1

  • Mitchell Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Mitchell Physical Therapy

Locations

6542 SE Lake Rd
Milwaukie, OR 97222
Phone (503) 427-0118

5212 SE 52nd Ave
Portland, OR 97206
Phone (503) 267-2406

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1194058362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 SE 52ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065629",
            "telephone_number": "503-777-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222138",
            "telephone_number": "503-496-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A MITCHELL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MITCHELL PHYSICAL THERAPY",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-777-1983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.