Elizabeth Mitsch, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11743 Issued in MN

Practice address

8811 92ND St S Ste 101
Cottage Grove, MN 55016-4037

Phone

(651) 241-3777

NPI assigned

Feb 10, 2020

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)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emitsch578522@excellian.direct.allina.com

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

• Allina Health System

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1467758813
  NPD (past)
• Physical Therapy Consultants, Inc.

  • Physical Therapy Clinic/Center
  • Ham Lake, MN
  • NPI 1366460719
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1609408368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 92ND ST S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 92ND ST S STE 101",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164037",
            "telephone_number": "651-241-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSCH",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walid A Mikhail, MD
• Mind at Ease Counseling and Wellness
• Mind Works Hope & Healing LLC
• Minnesota Dental Professionals, P.C.
• Brittany Miskowiec, PHD, MSW, LICSW
• Melissa Ann Mogen, CRNA
• Drew Montgomery, LDA
• Bronwen Morgan
• Daniel J Moriarty, MD
• Asma Moudi

• All providers in Cottage Grove, MN
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.