Peter Mitchell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT303395 Issued in CA

Practice address

24301 McIrlands Blvd Suite T
Lake Forest, CA 92630

Phone

(949) 271-0012

Fax

(714) 256-0770

NPI assigned

Jan 9, 2023

Last updated

May 10, 2023By the provider in NPPES

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

California Rehabilitation and Sports Therapy a California Physical theGroup PAC ID 6709788896, 182 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.

• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  Medicare reassignment Care Compare group
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Irvine, Inc.

  dba Coury & Buehler Physical Therapy - Irvine

  • Physical Therapy Clinic/Center
  • Irvine, CA
  • NPI 1477822807

  Physical Therapist

  Medicare reassignment NPD
• Coury & Buehler Physical Therapy - Lake Forest, Inc.

  dba Coury & Buehler Physical Therapy - Lake Forest

  • Physical Therapist
  • Lake Forest, CA
  • NPI 1316342033
  Medicare reassignment NPD
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Anaheim, CA
  • NPI 1891960258
  Medicare reassignment NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• Coury & Buehler Physical Therapy - Irvine, Inc.

  dba Coury and Buehler Physical Therapy

  • Physical Therapist
  • Irvine, CA
  • NPI 1811655954
  NPD
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Brea, CA
  • NPI 1790709194
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation - Corona

  • Physical Therapy Clinic/Center
  • Corona, CA
  • NPI 1255986873

  Physical Therapist

  NPD (past)
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapy Clinic/Center
  • Camarillo, CA
  • NPI 1669066940

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1366156945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72880 FRED WARING DR STE B7",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 MCIRLANDS BLVD SUITE T",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-271-0012",
            "fax_number": "714-256-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24591 Del Prado",
            "address_purpose": "LOCATION",
            "city": "Dana Point",
            "state": "CA",
            "postal_code": "926292802",
            "country_code": "US",
            "telephone_number": "949-620-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PETER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT303395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen John Misch, M.D
• Misurgical Multispecialty Medical Group
• Melody G. Mitchel, CPNP
• Jaslyn Mitchell
• Lesli Denise Mitchell, LCSW
• Shannon C Mitchell, SLPA
• MLSG Corp (dba senior hospice)
• Soudabeh Moayedghyasy, D.M.D
• Mobility Physical Therapy, Inc.
• Mobility Professionals, Inc

• Physical Therapist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.