Kenneth Wayne Mitchell, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1022 Issued in AL

Practice address

3475 Brent Dr
Birmingham, AL 35243-1607

Phone

(205) 862-6465

Fax

(205) 967-0537

NPI assigned

Dec 14, 2006

Sex

Male

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

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467514927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 BRENT DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431607",
            "telephone_number": "205-862-6465",
            "fax_number": "205-967-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 BRENT DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431607",
            "telephone_number": "205-862-6465",
            "fax_number": "205-967-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lewis Mitchell, LPC
• H Dixon Mitchell Jr., ED.D.
• Hayden Blake Mitchell
• Heather F Mitchell, MD
• Jeb F Mitchell, PHARM.D.
• Lillian Marie Mitchell, DDS
• Lindsey Frost Mitchell, D.P.T.
• Maggie Mitchell
• Michael Drew Mitchell, MD
• Olivia Mitchell, RBT

• Occupational Therapist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.