Active NPI
Karen E Mitchell, MS PT
- Physical Therapist
- Hermon, ME
National Provider Identifier
1659503167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2391
- 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.
-
- Physical Therapist
- Bangor, ME
- NPI 1982790945
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| More Than Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Covey Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Pouzol Physical Therapy, PA | Physical Therapist | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2391 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary 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.