Courtney Yvette Mitchell

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6175 Canterbury Dr Apt 106
Culver City, CA 90230-7142

Phone

(310) 384-1036

NPI assigned

Sep 3, 2013

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davis and Derosa Physical Therapy IncGroup PAC ID 7113954264, 21 clinicians

Manhattan Beach Pacific Physical Therapy IncGroup PAC ID 4587619457, 11 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 and National Provider Directory roles.

• Davis and Derosa Physical Therapy, Inc

  • Physical Therapist
  • El Segundo, CA
  • NPI 1558414102
  Medicare reassignment Care Compare group NPD
• Manhattan Beach Pacific Physical Therapy Inc

  dba Pacific Physical Therapy

  • Physical Therapist
  • El Segundo, CA
  • NPI 1396799458
  Medicare reassignment Care Compare group NPD
• Positive Physical Therapy and Fitness Inc

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1023431046
  Medicare reassignment NPD

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1821422353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 CANTERBURY DR APT 106",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307142",
            "telephone_number": "310-384-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 CANTERBURY DR APT 106",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307142",
            "telephone_number": "310-384-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "COURTNEY",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Miranda
• Barbara Cox Miras
• Jennifer Miskabi
• Katelyn A Miskevics, LMFT
• Mission City Community Network, Inc.
• Maleek Andre Mitchell
• Mitsuaki David Kato, O.D., Inc.
• Torrey Mitsunaga, MS, RDN
• Dillon Miyasaki
• Diana Mladinich

• Physical Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.