Keir Mitchell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.010938 Issued in IL

Practice address

1740 W Taylor St
Physical Therapy Department, Room C-100
Chicago, IL 60612-7232

Phone

(312) 996-3700

Fax

(312) 996-1457

NPI assigned

Mar 15, 2007

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Interoperability endpoints

• Direct secure messaging: keir.mitchell.1@11074.direct.athenahealth.com

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1366576829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 W BROMPTON AVE",
            "address_2": "UNIT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576409",
            "telephone_number": "773-883-8736",
            "fax_number": "312-996-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "address_2": "PHYSICAL THERAPY DEPARTMENT, ROOM C-100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-3700",
            "fax_number": "312-996-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KEIR",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.010938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackeline Mitchell, LCSW
• Jacqueline Faye Mitchell, DDS
• James Mitchell
• James Rice Mitchell, MSW, LCSW
• Kara A Mitchell, M.S., CCC-SLP/L
• Kelsey Lea Mitchell, CNM
• Kimberly Mitchell
• Kyla Mitchell
• Lauren Elizabeth Mitchell
• Lauren Michelle Mitchell, MD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.