Active NPI
Kathy Gipe Mitchell, PT
- Neurology Physical Therapist
- Dallas, TX
National Provider Identifier
1760772404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 1030013
- Practice address
- 909 N Washington Ave
Dallas, TX 75246-1520 - Phone
- (469) 951-8301
- Fax
- (214) 820-9369
- NPI assigned
- Apr 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 1030013 | TX | Primary |
Addresses
Primary practice location
909 N Washington Ave
Dallas, TX 75246-1520
Mailing address
9002 Woodbluff CT
Dallas, TX 75243-6306
Phone (469) 951-8301
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1030013 | TX | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1760772404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9002 WOODBLUFF CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436306",
"telephone_number": "469-951-8301",
"fax_number": "214-820-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N WASHINGTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461520",
"telephone_number": "469-951-8301",
"fax_number": "214-820-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "KATHY",
"middle_name": "GIPE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-14",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "TX",
"license": "1030013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.