Candice Mixon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06939 Issued in LA

Practice address

7301 Hennessy Blvd
Suite 101
Baton Rouge, LA 70808-4384

Phone

(225) 767-5004

Fax

(225) 767-3117

NPI assigned

Apr 26, 2013

Last updated

Apr 26, 2013By the provider in NPPES

Sex

Female

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Linx Physical Therapy and WellnessGroup PAC ID 7214934710, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Linx Physical Therapy & Wellness

  dba Linx Physical Therapy and Wellness Center

  • Physical Therapist
  • Maurepas, LA
  • NPI 1710927330
  Medicare reassignment Care Compare group NPD
• Advanced Rehabilitation Concepts

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1922210293
  NPD (past)

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1528402013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 RIVER RUN ESTATE DR",
            "city": "SAINT AMANT",
            "state": "LA",
            "postal_code": "707744701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD",
            "address_2": "SUITE 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084384",
            "telephone_number": "225-767-5004",
            "fax_number": "225-767-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "CANDICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitresh Optometry LLC (TRIO Eyecare)
• Mitresonz Transportation Services LLC
• Mitresonz Unlimited LLC
• Major Joseph Mittendorf, PA-C
• Carrie Banta Mix, CPHT
• Danielle S Mixon, OT
• Samantha Elizabeth Mixon, SLP
• Tarisha Renee Mixon, M.D.
• Charity Mkoji
• ML Express Transportation

• Physical Therapist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.

Verify at the official NPI Registry.