Mitchell Sports Performance

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

1315286 Issued in VA

Legal business name

MITCHELL SPORTS PERFORMANCE

Practice address

4209 W Hundred Rd
Chester, VA 23831-1734

Phone

(804) 717-5050

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Isaac Mitchell

Title

Owner

Phone

(804) 717-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1447615463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311734",
            "telephone_number": "804-717-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 W HUNDRED RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311734",
            "telephone_number": "804-717-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-717-5050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "1315286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milan Bhagat, DMD, PLLC (Central Virginia Dental Care, PLC)
• Christopher Miller, M.D.
• Kristin Jensen Miller, MSW
• Tayedia Shanice Miller
• Anthony Junius Mills, MS
• Angela Dise Mitchell, PHARM.D
• Modern Integrative Psychiatry, LLC
• Lauren Montgomery, OTD/OTR/L
• Tracy Louise Moore Duarte, MSN, PMHNP-BC
• Morris Cardiovascular and Risk Reduction Center PC

• Developmentally Disabled Services Day Training Agency in Chester, VA
• Providers in Chester, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.