Active NPI
Sharon Kay Dunnivan-Mitchell, P.T.
- Physical Therapist
- Pflugerville, TX
National Provider Identifier
1619217031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1056554
- Practice address
- 1501 Pecan St W
Suite 101
Pflugerville, TX 78660-2543 - Phone
- (512) 509-9525
- NPI assigned
- Feb 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1056554 | TX | Primary |
Addresses
Primary practice location
1501 Pecan St W
Suite 101
Pflugerville, TX 78660-2543
Mailing address
PO Box 847556
Dallas, TX 75284-7556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1056554 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Memorial Hospital | Past | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
-
- Community Based Hospice Care Agency
- Round Rock, TX
- NPI 1891468591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1619217031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847556",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 PECAN ST W",
"address_2": "SUITE 101",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602543",
"telephone_number": "512-509-9525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNIVAN-MITCHELL",
"first_name": "SHARON",
"middle_name": "KAY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1056554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.