Active NPI
Kelly Mitchell, P.T.
- Physical Therapist
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1156243
- 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, 2007
- 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 | 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
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
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 100
- Quality
- 89.74
- Improvement activities
- 40
- Cost
- 61.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colleyville Physical Therapy and Sports Rehab, PC | Physical Therapist | Current | Accepting new patients |
| Vista JV Partners LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Vista Rehab Partners, LP | Physical Therapist | Current | Accepting new patients |
| Vista Rehab Partners LP | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Colleyville, TX
- NPI 1134158371
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
dba Powerback Rehabilitation
- Physical Therapist
- North Richland Hills, TX
- NPI 1427454164
-
dba Vista Physical Therapy
- Multi-Specialty Clinic/Center
- Lake Worth, TX
- NPI 1326753377
Physical Therapist
-
dba Vista Physical Therapy
- Physical Therapist
- Fort Worth, TX
- NPI 1710223318
-
dba Powerback Rehabilitation
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
-
- Orthopaedic Surgery Physician
- Grapevine, TX
- NPI 1114443181
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.