Wilma Juanita Mitchell, M.ED.

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

1276 Fulton Ave
Bronx, NY 10456-3467

Phone

(718) 901-6308

NPI assigned

Nov 11, 2024

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

Credentials

Master of Education

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1437973096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 EDSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662011",
            "telephone_number": "347-821-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 FULTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104563467",
            "telephone_number": "718-901-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILMA",
        "middle_name": "JUANITA",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talisha Mitchell, PMHNP-BC
• Tonya Nicoel Mitchell, BEHAVORIAL TECHNICAN
• Tunesia L Mitchell, PA
• Tylie Y Mitchell
• William Gregory Mitchell, MD
• Jennifer Ann Mitchum
• Suman Mithani
• Frances Mitkowski
• Stefan Mitrasinovic, MD
• Dimitra Mitsianis, PA

• Recreation Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Recreation Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.