Ali S Mitchell, DPT, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0134048 Issued in VT

Practice address

171 Durgy Hill Rd
West Rutland, VT 05777-9427

Phone

(802) 558-2510

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fortitude Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Granville, NY
  • NPI 1780491688
  NPD Authorized official

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1760611651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 COUNTY ROUTE 18",
            "city": "WHITEHALL",
            "state": "NY",
            "postal_code": "128873852",
            "telephone_number": "802-558-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DURGY HILL RD",
            "city": "WEST RUTLAND",
            "state": "VT",
            "postal_code": "057779427",
            "telephone_number": "802-558-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Evelyn St",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057013901",
            "country_code": "US",
            "telephone_number": "802-775-4342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALI",
        "middle_name": "S",
        "name_prefix": "Miss",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0053167",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Cafaro, LMSW
• Lyndsi Lee Fischer
• Greater Rutland County Supervisory Union
• Hodgethotics, Inc
• Michael Joseph Laubach, R.PH.
• Lawrence Nowak
• McAul Parent, OT
• Roseanne Theresa Sobel, RPH
• Brittany Christine Tipton, PHARMD
• Matthew Tober, PHARMD

• Physical Therapist in West Rutland, VT
• Providers in West Rutland, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.