Individual provider Active NPI

Kelly Mitchell, P.T.

  • Physical Therapist
  • Grapevine, TX
National Provider Identifier
1215924204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1156243 Issued in TX
Practice address
2301 Ira E Woods Ave
Building B
Grapevine, TX 76051-3926
Phone
(817) 310-3737
Fax
(817) 310-3736
NPI assigned
Oct 4, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1156243 TX Primary

Addresses

Primary practice location

2301 Ira E Woods Ave
Building B
Grapevine, TX 76051-3926

Mailing address

910 Hills Creek Dr
McKinney, TX 75070-5232
Phone (972) 486-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041028000323 TX Practitioner - Physical Therapist in Private Practice 1557323920 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colleyville Physical Therapy and Sports Rehab, PCGroup PAC ID 1153315791, 12 clinicians
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Practice addresses (Care Compare)

1109 Church St
Colleyville, TX 76034-5849
Phone (817) 498-3919

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
89.74
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colleyville Physical Therapy and Sports Rehab, PC Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Vista JV Partners LLC Physical Therapist CurrentSince May 5, 2023 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 6, 2023 Accepting new patients
Vista Rehab Partners, LP Physical Therapist CurrentSince May 18, 2017 Accepting new patients
Vista Rehab Partners LP Physical Therapist CurrentSince May 18, 2017 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Dec 6, 2023 Accepting new patients
Nto Physician Partners, PLLC Past Accepting new patients
Vista Rehab Partners, LP Physical Therapist Past Accepting new patients

Locations

1101 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-9939

1109 Church St
Colleyville, TX 76034
Phone (817) 498-3919

11661 Preston Rd
Ste 173
Dallas, TX 75230
Phone (214) 265-7200

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

3535 Travis St
Ste 160
Dallas, TX 75204
Phone (214) 346-9105

1350 S Loop 288
Denton, TX 76205
Phone (940) 290-0500

5520 Sycamore School Rd
Fort Worth, TX 76123
Phone (817) 423-1621

8708 Medical City Way
Fort Worth, TX 76177
Phone (817) 345-0176

10150 Legacy Dr
Ste 100
Frisco, TX 75033
Phone (214) 705-8000

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

3055 Bardin Rd
Ste 200
Grand Prairie, TX 75052
Phone (972) 522-2200

2401 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 310-3736

5000 Western Center Blvd
Ste 220
Haltom City, TX 76137
Phone (817) 514-0519

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

6060 Rocky Point Trl
Ste 100
Lake Worth, TX 76135
Phone (682) 289-9840

5100 Eldorado Pkwy
#10220
McKinney, TX 75070
Phone (469) 310-1700

2758 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (972) 681-1155

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

6105 Windcom Ct
Ste 300
Plano, TX 75093
Phone (972) 781-1111

821 N Coleman St
Ste 160
Prosper, TX 75078
Phone (972) 347-1111

7720 Highway 78
Sachse, TX 75048
Phone (972) 761-5501

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215924204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HILLS CREEK DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705232",
            "telephone_number": "972-486-3115",
            "fax_number": "972-486-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 IRA E WOODS AVE",
            "address_2": "BUILDING B",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513926",
            "telephone_number": "817-310-3737",
            "fax_number": "817-310-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KELLY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1156243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • 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.