Taylor L. Mitzel

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-2051 Issued in ID

Practice address

2127 W Overland Rd
Boise, ID 83705-3149

Phone

(208) 321-4898

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By the provider in NPPES

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1790374445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 W HALEY DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836163370",
            "telephone_number": "831-801-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053149",
            "telephone_number": "208-321-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITZEL",
        "first_name": "TAYLOR",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA-2051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eloise H Mitchell
• Gregory D Mitchell, M.A, L.A.T., A.T.C.
• Sam Mitchell, D.C.
• Manisha Mittal, MD
• Katrina P Mittleider, PN
• Yukiko Miura, M.D.
• Jesse William Mix, DO
• Tina Miyake
• Stuart Miyasako, MD
• Megan Mize, CCC-SLP

• Occupational Therapy Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.