Jeffrey George Mitsch, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009112 Issued in WA

Practice address

5704 E Lake Sammamish Pkwy SE Ste 101
Issaquah, WA 98029-8941

Phone

(425) 270-3323

Fax

(425) 270-3326

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quest Physical Therapy LLCGroup PAC ID 7012105901, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Quest Physical Therapy, LLC

  • Physical Therapist
  • Issaquah, WA
  • NPI 1053624791
  Medicare reassignment Care Compare group NPD
• Apple Physical Therapy, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Auburn, WA
  • NPI 1902808470
  Medicare reassignment NPD
• Apple Physical Therapy LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Mountlake Terrace, WA
  • NPI 1366746232

  Physical Therapist

  NPD
• Apple Physical Therapy LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Yelm, WA
  • NPI 1922283050
  NPD
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  dba Northwest Sports Physical Therapy, Inc.

  • Physical Therapist
  • Tacoma, WA
  • NPI 1225582844
  NPD (past)
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  dba Northwest Sports Physical Therapy

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1225096753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 E LAKE SAMMAMISH PKWY SE STE 101",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298941",
            "telephone_number": "425-270-3323",
            "fax_number": "425-270-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 E LAKE SAMMAMISH PKWY SE STE 101",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298941",
            "telephone_number": "425-270-3323",
            "fax_number": "425-270-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSCH",
        "first_name": "JEFFREY",
        "middle_name": "GEORGE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0290933",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8369241",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lavnika Anand Mishra, DPT, MPT
• Dravya Mistry, P.T.
• Kristy Marie Mitchell, ARNP
• Stacy Claire McDowell Mitchell
• Janet Moczulewski, LMFT
• Jill Marie Moeller, LICSW
• Rehab Elsayed Morsi Mohamed
• Shadi Mohammadi Araghi, D.D.S
• Idil Mohamud, LICSW

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.