Active NPI
Kristin Marie Mitchell, MS, PT
- Physical Therapist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4069
- Practice address
- 2488 E 81St St Ste 290
Tulsa, OK 74137-4265 - Phone
- (918) 494-2665
- Fax
- (918) 927-3198
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 27375 | CA | |
| Physical Therapist | 225100000X | 4069 | OK | Primary |
Addresses
Primary practice location
2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Mailing address
2488 E 81St St Ste 290
Tulsa, OK 74137-4265
Phone (918) 927-3737
Other practice location 1
6475 S Yale Ave Ste 301
Tulsa, OK 74136
Phone (918) 494-2665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200241180A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2488 E 81St St
Suite 290
Tulsa, OK 74137-4265
Phone (918) 494-2665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4069 | OK | MD | Chiropractor |
| PT 27375 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics of Oklahoma PLLC | Physical Therapist | Current | Accepting new patients |
| Advanced Orthopedics of Oklahoma PLLC | Physical Therapist | Current | Accepting new patients |
| Group Practice Associates, Inc. | Past | Accepting new patients |
Locations
205 E B St
Jenks, OK 74037
Phone (918) 299-4411
2488 E 81st St
Ste 290
Tulsa, OK 74137
Phone (918) 494-2665
6475 S Yale Ave
Ste 301
Tulsa, OK 74136
Phone (918) 494-9300
6585 S Yale Ave
Ste 200
Tulsa, OK 74136
Phone (918) 481-2767
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGJHAD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1235676453
Physical Therapist
-
- Orthopaedic Surgery Physician
- Owasso, OK
- NPI 1104663996
Physical Therapist
-
- Internal Medicine Physician
- Stillwater, OK
- NPI 1033172168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1457326928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2488 E 81ST ST STE 290",
"city": "TULSA",
"state": "OK",
"postal_code": "741374265",
"telephone_number": "918-927-3737",
"fax_number": "918-927-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2488 E 81ST ST STE 290",
"city": "TULSA",
"state": "OK",
"postal_code": "741374265",
"telephone_number": "918-494-2665",
"fax_number": "918-927-3198"
}
],
"practiceLocations": [
{
"address_1": "6475 S Yale Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74136",
"country_code": "US",
"telephone_number": "918-494-2665",
"fax_number": "918-927-3193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 27375",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200241180A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.