Kayla Yvonne Mitchell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2151827 Issued in TX

Practice address

375A W US Highway 84
Fairfield, TX 75840-1411

Phone

(903) 389-7433

Fax

(903) 389-7631

NPI assigned

Nov 4, 2019

Last updated

Nov 4, 2019By the provider in NPPES

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

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.

• Rural Rehab Providers, LLC

  dba Lott Physical Therapy

  • Physical Therapist
  • Corsicana, TX
  • NPI 1063574671
  NPD

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1356985238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751511241",
            "telephone_number": "903-874-7433",
            "fax_number": "903-874-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375A W US HIGHWAY 84",
            "city": "FAIRFIELD",
            "state": "TX",
            "postal_code": "758401411",
            "telephone_number": "903-389-7433",
            "fax_number": "903-389-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 W 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751103702",
            "country_code": "US",
            "telephone_number": "903-874-7433",
            "fax_number": "903-874-6295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KAYLA",
        "middle_name": "YVONNE",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2151827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lott, FNP
• Ellen Elizabeth Mackey, PT, DPT
• Mallorie Maggard
• Rosario Martinez-Badillo
• Medrec, Inc
• Brent William Moore, DDS
• Christine Holt Moore, RPH
• John Daniel Morgan, DDS
• Moriah Munoz
• Matthew Noble, PT, DPT

• Physical Therapy Assistant in Fairfield, TX
• Providers in Fairfield, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.