Jaclyn Mitchener

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0013544 Issued in CO

Practice address

1135 Josephine St Apt 301B
Denver, CO 80206-3162

Phone

(831) 596-6807

NPI assigned

Mar 26, 2015

Last updated

Mar 26, 2015By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1518351618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 JOSEPHINE ST APT 301B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 JOSEPHINE ST APT 301B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063162",
            "telephone_number": "831-596-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHENER",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Rashon Mitchell
• Ryan Michael Mitchell, M.D.
• Samantha Mitchell
• Scottie Ruth Mitchell, LPN
• Vera L Mitchell, APRN, CRNA
• Avelynn Mitra, LSW
• Jody Mittiga, ANP, ANP-BC
• Cody Michael Mitts, MA,NCC, LPC
• Richard B Mitz, DDS
• Amber L Miura, LPC

• Physical Therapy Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.