M Andrew Mix, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1352 Issued in ID

Practice address

276 Eastland Dr N
Twin Falls, ID 83301-4458

Phone

(208) 735-8563

Fax

(208) 735-8564

NPI assigned

Apr 18, 2006

Last updated

Nov 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifestyles Therapy and Wellness Center IncGroup PAC ID 3274602461, 2 clinicians

Practice addresses (Care Compare)

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.

• Lifestyles Therapy & Wellness Center Inc.

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1013189596
  Medicare reassignment Care Compare group NPD Authorized official
• Castle Therapy PLLC

  • Occupational Therapist
  • Twin Falls, ID
  • NPI 1275218273

  Physical Therapist

  NPD
• Twin Falls Physical Therapy and Wellness Clinic

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1174630750
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1346205937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 EASTLAND DR N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014458",
            "telephone_number": "208-735-8563",
            "fax_number": "208-735-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 EASTLAND DR N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014458",
            "telephone_number": "208-735-8563",
            "fax_number": "208-735-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIX",
        "first_name": "M ANDREW",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00045805",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T7275",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806571300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806555000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010141846",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A. Richard Miranda, MD
• Cortney R Mitchell, AUD,BS,AA
• Rosemary L Mitchell, LMSW
• Lisa A Mitton, LCSW
• Maverick Mitton, FNP-C
• Mitchell Jackson Moffitt, M.D.
• Stanley Mogelson, M.D.
• Rebecca Ann Molina, FNP
• Chad Robert Momberger, CRNA
• Andrew Nolan Monson, D.O.

• Physical Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.