Andrew Murray Mitchell Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160787836 Issued in WA

Practice address

1310 NW Deane St
Pullman, WA 99163-3705

Phone

(509) 332-1566

NPI assigned

Nov 8, 2017

Sex

Male

Sole proprietor

Yes

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1710490073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 CORAL KEY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NW DEANE ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633705",
            "telephone_number": "509-332-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANDREW",
        "middle_name": "MURRAY",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160787836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Mihulka
• Peter M Mikkelsen, M.D.
• Diane Uhlenkott Miller, MSW
• Michelle Kathleen Miller
• Ric Minudri, M.D.
• Guillermo Modad, M.D.
• Benno J Mohr, MD
• Keira Monaghan
• Timothy Moody, M.D.
• Jennifer Lynn Morgan, L.M.T

• Physical Therapy Assistant in Pullman, WA
• Providers in Pullman, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.