Individual provider Active NPI

Josiah Mitchum, PT, DPT

  • Physical Therapist
  • Richland, WA
National Provider Identifier
1265016307
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61163583 Issued in WA
Practice address
1351 Fowler St Ste 110
Richland, WA 99352-4714
Phone
(509) 942-2574
Fax
(509) 942-2575
NPI assigned
May 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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 PT61163583 WA Primary

Addresses

Primary practice location

1351 Fowler St Ste 110
Richland, WA 99352-4714

Mailing address

1351 Fowler St Ste 101
Richland, WA 99352-4714
Phone (509) 942-2574

Other practice location 1

100 E Jackson Ave Ste 201
Ellensburg, WA 98926-3692
Phone (509) 925-6220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520002969 WA Practitioner - Physical Therapist in Private Practice 0941609119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1351 Fowler St
Richland, WA 99352-4714
Phone (509) 946-1654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Kadlec Regional Medical Center CurrentSince Nov 1, 2025 Accepting new patients
Kadlec Regional Medical Center CurrentSince Nov 9, 2025 Accepting new patients
RPM Rehab, Inc Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients

Locations

330 Franklin Rd
Ste 102
Brentwood, TN 37027
Phone (760) 256-2800

1351 Fowler St
Ste 110
Richland, WA 99352
Phone (509) 942-2574

560 Gage Blvd
Ste 102
Richland, WA 99352
Phone (509) 628-1911

1351 Fowler St
Richland, WA 99352
Phone (509) 942-2660

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1351 Fowler St
Ste 101
Richland, WA 99352
Phone (509) 942-2574

304 S 1st St
Ste A
Selah, WA 98942
Phone (509) 697-5330

765 E Holland Ave
Ste 3
Spokane, WA 99218
Phone (509) 824-1996

1608 S 24th Ave
Ste 102
Yakima, WA 98902
Phone (509) 248-6113

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1265016307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 FOWLER ST STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524714",
            "telephone_number": "509-942-2574",
            "fax_number": "509-942-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 FOWLER ST STE 110",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524714",
            "telephone_number": "509-942-2574",
            "fax_number": "509-942-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Jackson Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263692",
            "country_code": "US",
            "telephone_number": "509-925-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHUM",
        "first_name": "JOSIAH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61163583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.