Mitchell M McCorkle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

345 E Main St Ste F
Jackson, OH 45640-1787

Phone

(740) 286-5677

Fax

(740) 286-7661

NPI assigned

Nov 10, 2020

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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1548862139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE STE 101",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E MAIN ST STE F",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401787",
            "telephone_number": "740-286-5677",
            "fax_number": "740-286-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "MITCHELL",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Marks
• Anedeam Snow Martin, LCDC III
• Nicole Maxey, QMHS
• Cheryl Renee McCarty, LPTA
• Tiffany McCarty, LSW
• Regina McDaniel, LPN
• Abigail Meg McGee, PCC-S
• Austin McGhee
• Michael McGraw, PT
• Kimberly D McGuire, CDCA

• Physical Therapist in Jackson, OH
• Providers in Jackson, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.