Active NPI
Carol Elise Mitchell, P.T.
- Physical Therapist
- Putnam Valley, NY
National Provider Identifier
1639205065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011622-1
- Practice address
- 21 Peekskill Hollow Rd
Suite 201
Putnam Valley, NY 10579-3248 - Phone
- (845) 528-3133
- Fax
- (845) 528-0463
- NPI assigned
- Feb 27, 2007
- 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 | 011622-1 | NY | Primary |
Addresses
Primary practice location
21 Peekskill Hollow Rd
Suite 201
Putnam Valley, NY 10579-3248
Mailing address
208 Harris Rd Apt Ja1
Bedford Hills, NY 10507-2120
Phone (914) 666-8286
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 |
|---|---|---|---|
| 011622-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Past | Accepting new patients |
| Maryann Russo, PT | Physical Therapist | 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.
-
- Physical Therapist
- Harrison, NY
- NPI 1396799409
-
dba Northern Westchester Putnam Physical Therapy
- Physical Therapist
- Yorktown Heights, NY
- NPI 1801097944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1639205065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 HARRIS RD APT JA1",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105072120",
"telephone_number": "914-666-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PEEKSKILL HOLLOW RD",
"address_2": "SUITE 201",
"city": "PUTNAM VALLEY",
"state": "NY",
"postal_code": "105793248",
"telephone_number": "845-528-3133",
"fax_number": "845-528-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CAROL",
"middle_name": "ELISE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "011622-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Putnam Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.