Active NPI
Cheryl Mitchell
- Physical Therapist
- Springfield, IL
National Provider Identifier
1295904589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3631 S 6TH St
Springfield, IL 62703-4777 - Phone
- (217) 535-3685
- Fax
- (217) 529-0988
- NPI assigned
- Feb 21, 2008
- 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 | IL | Primary |
Addresses
Primary practice location
3631 S 6TH St
Springfield, IL 62703-4777
Mailing address
3631 S 6TH St
Springfield, IL 62703-4777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070007165 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203552000000",
"number": "1295904589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3631 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627034777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627034777",
"telephone_number": "217-535-3685",
"fax_number": "217-529-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CHERYL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2008-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
- Missouri Dental Professionals, Richard Straus, DMD, PC
- Venkata R Karthik Missula, MD
- Bryan Michael Mistretta, DO
- Jessica N Mistretta, DO
- Brittany R. Mitchell, LMT
- James Allen Mitchell, CRNA
- Jessica Christine Mitchell, PA-C
- Kristofer J. Mitchell, M.D.
- Nicole Shontrease Mitchell, CRNA
- Robin Mitchell, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.