Zachary T Mitchell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

300 Evergreen Dr
Ste 220
Glen Mills, PA 19342-1059

Phone

(610) 579-3650

Fax

(610) 579-3655

NPI assigned

Jun 23, 2009

Last updated

Jun 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential LLCGroup PAC ID 1850605312, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Potential, LLC

  dba Action Potential

  • Physical Therapy Clinic/Center
  • Glen Mills, PA
  • NPI 1831478692
  Medicare reassignment Care Compare group NPD
• Fean Physical Therapy LLC

  • Physical Therapist
  • Garnet Valley, PA
  • NPI 1841573052
  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1770711376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SPROUL RD",
            "address_2": "STE 100",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083511",
            "telephone_number": "610-359-1580",
            "fax_number": "610-359-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EVERGREEN DR",
            "address_2": "STE 220",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421059",
            "telephone_number": "610-579-3650",
            "fax_number": "610-579-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ZACHARY",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Ayes DDS and Associates Pennsylvania V, PC
• Michele Schneider MD, LLC
• Arnee Miles, PA-C
• Deborah Ann Miller, PHD
• Edward Mills, DPT
• Merrill J Mittathany, PHARMD
• Adarsh Modani, D.D.S.
• Tejal Mody, M.D.
• Vincent D Mongiovi, D.M.D.
• Ann E Moore, CRNP

• Physical Therapist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.