Jacob Mitchell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1360232 Issued in TX

Practice address

9660 Bartlett Cir Ste 708
Fort Worth, TX 76108-4465

Phone

(817) 862-9665

NPI assigned

May 16, 2022

Last updated

May 16, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Propel Physical Therapy Services LLCGroup PAC ID 5799208070, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.26 of 100Reported as group

Quality

89.74

Improvement activities

40

Cost

61.81

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Propel Physical Therapy Services LLC

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1033975024
  Medicare reassignment Care Compare group NPD
• Bonnette Elite Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1891141362

  Physical Therapist

  Medicare reassignment NPD
• Champion Performance Physical Therapy, PC

  • Physical Therapist
  • Austin, TX
  • NPI 1942279823
  Medicare reassignment NPD
• Baylor College of Medicine

  dba BCM Physicians

  • Ph.D. Medical Genetics
  • Houston, TX
  • NPI 1881026664
  Medicare reassignment
• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1275270977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 BARTLETT CIR STE 708",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 BARTLETT CIR STE 708",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084465",
            "telephone_number": "817-862-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JACOB",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1360232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fortworthphysicaltherapist.com",
            "affiliation": "N",
            "address_1": "9660 Bartlett Cir Ste 708",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761084465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise Parker Mitchell, MD
• Donald Mitchell, M.D.
• Earl Mitchell
• Evan Mitchell, MD
• Jaci Mitchell, LMSW
• Jacob Clark Mitchell, PHARMD
• Jana Mitchell, RNC
• Jonathan Mitchell
• Kayana Mitchell
• Kenesha Mitchell, LCSW

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.