Individual provider Active NPI

Joshua Dale Mitchell, PT, DPT

  • Physical Therapist
  • Bettendorf, IA
National Provider Identifier
1427680727
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
098653 Issued in IA
Practice address
2300 53Rd Ave Ste LL02
Bettendorf, IA 52722-7565
Phone
(563) 449-7000
NPI assigned
Feb 5, 2020
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 098653 IA Primary

Addresses

Primary practice location

2300 53Rd Ave Ste LL02
Bettendorf, IA 52722-7565

Mailing address

2300 53Rd Ave Ste 100
Bettendorf, IA 52722-7565
Phone (563) 322-5097

Other practice location 1

510 Valley View Dr
Moline, IL 61265-6133
Phone (309) 797-0866

Other practice location 2

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

Other identifiers 2

IdentifierTypeStateIssuer
098653OtherIALICENSE
070025826OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200316002609 IA Practitioner - Physical Therapist in Private Practice 9739517236 Reassigns benefits to 2 organizations
I20221028000166 IL Practitioner - Physical Therapist in Private Practice 9739517236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians
Ora Orthopedics PCGroup PAC ID 6406741784, 119 clinicians

Practice addresses (Care Compare)

117 N Western Ave
Peoria, IL 61604-5650
Phone (309) 674-2400

510 Valley View Dr
Moline, IL 61265-6133
Phone (309) 762-3621

6101 Northwest Blvd
Davenport, IA 52806-1861
Phone (563) 322-0971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopractic Physical Therapy of the Midwest Current Accepting new patients
Ora Orthopedics, PC CurrentSince Oct 24, 2022 Accepting new patients
Ora Orthopedics PC CurrentSince Oct 24, 2022 Accepting new patients
Bradley C Hirl Physical Therapist PastSince Feb 1, 2020 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL02
Bettendorf, IA 52722
Phone (563) 332-4422

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

6101 Northwest Blvd
Davenport, IA 52806
Phone (563) 449-7004

510 Valley View Dr
Moline, IL 61265
Phone (309) 762-3621

520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1427680727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 53RD AVE STE 100",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227565",
            "telephone_number": "563-322-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 53RD AVE STE LL02",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227565",
            "telephone_number": "563-449-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Valley View Dr",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656133",
            "country_code": "US",
            "telephone_number": "309-797-0866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6101 Northwest Blvd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528061861",
            "country_code": "US",
            "telephone_number": "563-322-0971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOSHUA",
        "middle_name": "DALE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "098653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "098653",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070025826",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.