Eric Mitchell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8247 Issued in AL

Practice address

7057 Halcyon Summit Dr
Montgomery, AL 36117-6927

Phone

(334) 625-5809

Fax

(334) 271-2555

NPI assigned

Nov 22, 2016

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

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1508309667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441146",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609522",
            "telephone_number": "678-459-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 HALCYON SUMMIT DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176927",
            "telephone_number": "334-625-5809",
            "fax_number": "334-271-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ERIC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elon Miree, D-MIN
• Mission Square Chiropractic Clinic
• Brandon H Mitchell, MD
• Bryant Mitchell
• Elizabeth Mitchell, LPC
• Jessica Marie Mitchell, CRNP, FNP
• Mildres Arlette Mitchell
• Paris Mitchell
• Rachel Mitchell
• Regina Mitchell, L.P.N

• Physical Therapist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.