Jonathan Mitchell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6440 Issued in MS

Practice address

8905 Ocean Springs Rd
Ocean Springs, MS 39564-4421

Phone

(228) 215-0521

Fax

(228) 215-0619

NPI assigned

Mar 10, 2022

Sex

Male

Sole proprietor

Yes

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.

• Lighthouse Therapy LLC

  • Physical Therapist
  • Ocean Springs, MS
  • NPI 1801367883

  MS, Physical Therapist

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

University of Mississippi School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Therapy LLC 12 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MS

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2022.

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1740937671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 MOCKINGBIRD CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390477363",
            "telephone_number": "662-614-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644421",
            "telephone_number": "228-215-0521",
            "fax_number": "228-215-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JONATHAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi Eye Surgery Center UC
• Mississippi Gulf Coast Young Men'S Christian Association, Inc.
• Mississippi Limb Brace and DME, LLC
• Mississippi State Department of Health
• Dana Suzanne Mitchell, M.S. CCC-SLP
• Navasia Mitchell
• Patrick Jay Mitchell, OTR/L
• Holly Ann Mixon, MS CCC SLP
• Arianna Mariam Mohiuddin, MD
• Karina Elaine Moore-Massey

• All providers in Ocean Springs, MS
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.