Christopher Shaun Mitchell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

108341 Issued in MO

Practice address

345 S Barrett LN
Ste. 2
Nevada, MO 64772-4255

Phone

(417) 667-6673

Fax

(417) 667-7733

NPI assigned

Oct 10, 2006

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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Industrial Physical Therapy, Inc.Group PAC ID 9133181357, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Industrial Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Joplin, MO
  • NPI 1700978087

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346338217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 324",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647724244",
            "telephone_number": "417-667-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S BARRETT LN",
            "address_2": "STE. 2",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647724255",
            "telephone_number": "417-667-6673",
            "fax_number": "417-667-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHAUN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "108341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menm, LLC
• Mid America Medical Consultants
• Brett Christopher Miller, PSY.D.
• Rick Allen Miller, LPC
• Jay Anjankumar Mistry, DDS
• Robert Jeffery Mitchell Sr., PH.D.
• Candice A. Moore, M.D.
• Michael T Moore, MD
• Robyn S Moore, D.C.
• Lindsey Nichole Morgan, RD,LD

• Physical Therapist in Nevada, MO
• Providers in Nevada, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.