Amy Lynn Mitchell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.001989 Issued in OH

Practice address

9115 Milton Carlisle Rd
New Carlisle, OH 45344-9249

Phone

(937) 408-5108

NPI assigned

Nov 30, 2018

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

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": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1588134704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E MAPLE ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202593",
            "telephone_number": "330-498-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 MILTON CARLISLE RD",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453449249",
            "telephone_number": "937-408-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA.001989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie McCormick, LMT, LPN
• Constance McCoy
• Dorothy R McNeil, LPCC-S
• Patricia Miles
• Lytha K Miller, D.D.S.
• Marlon L Moritz, DC
• Michael Carl Mueller, DDS
• Audrey Musselman, MDN, RDN, LD
• Meghna Srinivasan Narayanan, D.D.S.
• New Carlisle Family Dental - David M Raiffe DDS Mba Inc

• Physical Therapy Assistant in New Carlisle, OH
• Providers in New Carlisle, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.