Vanessa Mitchell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1147 Issued in NH

Practice address

312 Marlboro St
Keene, NH 03431-4163

Phone

(603) 352-2253

NPI assigned

Jul 27, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1790160109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARLBORO ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314163",
            "telephone_number": "603-352-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "VANESSA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NH",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Minniti, RD
• Wendy L Mispel-John
• Payal Mistry, MA, R-DMT
• Alexander Fleming Mitchell, DMD
• Jeremy Todd Mitchell
• Ronald Kenji Miyatake, PH.D.
• Moja Behavioral LLC
• Laura Molina
• Monadnock Area Peer Support Agency
• Monadnock Collaborative

• Physical Therapy Assistant in Keene, NH
• Providers in Keene, NH by specialty
• Physical Therapy Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.