Individual provider Active NPI

Karen E Mitchell, MS PT

  • Physical Therapist
  • Hermon, ME
National Provider Identifier
1659503167
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2391 Issued in ME
Practice address
2402 RT. 2
Suite H
Hermon, ME 04401
Phone
(207) 848-9009
Fax
(207) 404-2562
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
More Than Therapy LLC 2 clinicians

Practice addresses (Care Compare)

17 2ND St
Bangor, ME 04401-6133
Phone (207) 907-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000658 ME Practitioner - Physical Therapist in Private Practice 7113065657 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
More Than Therapy LLC Physical Therapist CurrentSince Mar 9, 2023 Accepting new patients
Covey Physical Therapy Physical Therapist CurrentSince Aug 13, 2012 Accepting new patients
Pouzol Physical Therapy, PA Physical Therapist CurrentSince Oct 21, 2019 Accepting new patients

Locations

17 Second St
Bangor, ME 04401
Phone (207) 217-0803

33B Penn Plz
Bangor, ME 04401
Phone (207) 990-2050

2263 Route 2
Hermon, ME 04401
Phone (207) 848-9009

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2391 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

2402 RT. 2
Suite H
Hermon, ME 04401

Mailing address

2263 Route 2
Hermon, ME 04401-0605
Phone (207) 848-9009

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2017.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1659503167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 ROUTE 2",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010605",
            "telephone_number": "207-848-9009",
            "fax_number": "207-404-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 RT. 2",
            "address_2": "SUITE H",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-848-9009",
            "fax_number": "207-404-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermon, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.