Krista Marie Mitchell, PTA, CLT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1539 Issued in MN

Practice address

6200 Xerxes Ave S
Edina, MN 55423-1033

Phone

(701) 320-9793

NPI assigned

Jun 21, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1336718733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17247 HORIZON TRL SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553723939",
            "telephone_number": "701-320-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 XERXES AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554231033",
            "telephone_number": "701-320-9793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 19th St NW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559011633",
            "country_code": "US",
            "telephone_number": "507-282-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Shady Lane Dr",
            "address_purpose": "LOCATION",
            "city": "Wadena",
            "state": "MN",
            "postal_code": "564823093",
            "country_code": "US",
            "telephone_number": "701-320-9793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 University Dr SE",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563042023",
            "country_code": "US",
            "telephone_number": "701-320-9793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Health Integrative Medical Clinic
• Jennifer J Missling, P.T.
• Mitchell a. Loeb PLLC
• Charles Mitchell, M.D.
• James Murray Mitchell, M. D.
• Margaret M. Mitchell, D.C.
• Patricia L Mitchell, GNP
• Richard Alan Mitchell, M.D.
• Timothy James Mitzen, PHARMD
• Alan Deming Mjolsnes, D.D.S.

• All providers in Edina, MN
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.