Mitchell Richard Strand, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016041 Issued in GA

Practice address

705 Breedlove Dr Ste 300
Monroe, GA 30655-2080

Phone

(678) 635-7221

Fax

(678) 635-7298

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By 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 GA

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

Compass Physical TherapyGroup PAC ID 7315276714, 7 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.

• Compass Physical Therapy

  • Physical Therapy Clinic/Center
  • Loganville, GA
  • NPI 1316503162

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1386371516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BREEDLOVE DR STE 300",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552080",
            "telephone_number": "678-635-7221",
            "fax_number": "678-635-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BREEDLOVE DR STE 300",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552080",
            "telephone_number": "678-635-7221",
            "fax_number": "678-635-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAND",
        "first_name": "MITCHELL",
        "middle_name": "RICHARD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayne R Squires, M.D.
• Stacey Busboom Speech Therapy LLC
• Carey Stamps, LPC
• Steven R Taraszka PC (Monroe Medical Center)
• Amanda E Stewart, CPM
• Strength & Serenity Counseling, LLC
• Georgianne Ashley Summer, AG-ACNP
• Summit BHC Monroe, LLC (Twin Lakes Recovery Center)
• Ernst Suneus, PHARMD
• Susan Denise Tackett, CPED

• Physical Therapist in Monroe, GA
• Providers in Monroe, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.