Individual provider Active NPI

Mitchell Lovett III, BS EXERCISE SCIENCE

  • Athletic Trainer
  • Clinton TWP, MI
National Provider Identifier
1760206288
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
20596 Hall Rd
Clinton TWP, MI 48038-5326
Phone
(586) 371-6196
NPI assigned
Nov 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

20596 Hall Rd
Clinton TWP, MI 48038-5326

Mailing address

31366 Rosenbusch Dr
Warren, MI 48088-2034
Phone (586) 464-7020

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)
Not enrolled
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1760206288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31366 ROSENBUSCH DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480882034",
            "telephone_number": "586-464-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20596 HALL RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385326",
            "telephone_number": "586-371-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVETT",
        "first_name": "MITCHELL",
        "name_suffix": "III",
        "credential": "BS EXERCISE SCIENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.