Individual provider Active NPI

Emily Victoria Mitchell, DPT

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1700577293
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016531 Issued in GA
Practice address
2450 Atlanta Hwy Ste 604
Cumming, GA 30040-1254
Phone
(404) 225-2174
NPI assigned
May 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016531 GA Primary

Addresses

Primary practice location

2450 Atlanta Hwy Ste 604
Cumming, GA 30040-1254

Mailing address

4410 Hunters Walk Way
Cumming, GA 30028-4936
Phone (770) 866-1673

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

LicenseStateTypeSpecialty
PT016531GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oncore Physical Therapy Physical Therapist CurrentSince Jun 24, 2023 Accepting new patients

Locations

2450 Atlanta Hwy
Ste 604
Cumming, GA 30040
Phone (404) 225-2174

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1700577293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 HUNTERS WALK WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300284936",
            "telephone_number": "770-866-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 604",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401254",
            "telephone_number": "404-225-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "EMILY",
        "middle_name": "VICTORIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.