Jered Mitchem

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

07741 Issued in OH

Practice address

77 Hillcrest Ave
Little Hocking, OH 45742-5294

Phone

(740) 525-2288

NPI assigned

Sep 17, 2012

Last updated

Sep 17, 2012By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1699025692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HILLCREST AVE",
            "city": "LITTLE HOCKING",
            "state": "OH",
            "postal_code": "457425294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HILLCREST AVE",
            "city": "LITTLE HOCKING",
            "state": "OH",
            "postal_code": "457425294",
            "telephone_number": "740-525-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEM",
        "first_name": "JERED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "07741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Cox
• Debra Kay Dillon
• Mary Jo Fleming
• Tara Renee Jenkins
• Darrin Lawson
• Jessica Neville
• Stella May Place
• Constance Jean Raber
• Renee Maria Richardson
• Sheri Lynn Riggins

• Physical Therapy Assistant in Little Hocking, OH
• Providers in Little Hocking, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.