Taylor Romulus Mitchell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19802 Issued in NC

Practice address

1721 Allens LN Ste 101
Wilmington, NC 28403-3662

Phone

(910) 256-4442

Fax

(910) 256-4443

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1225640923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033662",
            "telephone_number": "910-256-4442",
            "fax_number": "910-256-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 ALLENS LN STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033662",
            "telephone_number": "910-256-4442",
            "fax_number": "910-256-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TAYLOR",
        "middle_name": "ROMULUS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Mitchell, LCSW-A
• Lori June Mitchell, PHARM D
• Matthew Hunter Mitchell
• Michelle S Mitchell, CRNA
• Samantha Lee Mitchell, LCMHCA
• Amber Michele Mittendorf, M.D.
• Katherine Mitzel, MS, APRN, A-GNP-C
• Carla Lisa Mizrahi, BCBA
• Matthew J Mlot, MD
• MM Home Care, LLC

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.