Michael Mitri, PT, DPT, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297560 Issued in CA

Practice address

439 Avenida de la Luna
Vista, CA 92083-3648

Phone

(714) 719-9625

NPI assigned

Dec 10, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1437796356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 AVENIDA DE LA LUNA",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920833648",
            "telephone_number": "714-719-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 AVENIDA DE LA LUNA",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920833648",
            "telephone_number": "714-719-9625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Montiel Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920693587",
            "country_code": "US",
            "telephone_number": "760-839-2905",
            "fax_number": "760-839-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITRI",
        "first_name": "MICHAEL",
        "credential": "PT, DPT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Christine Missler, CPNP
• Aolanni Mitchell
• Katherine Diane Mitchell
• Kelsie James Mitchell
• Pamela Mitchell, MPT
• Dayna Miyashiro, MD
• MJ Physcial Therapy
• MJ Physical Therapy Inc
• Kareem Moasis, MD
• Modena Allergy & Asthma II Inc.

• Physical Therapist in Vista, CA
• Providers in Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.