Sara K Mitchell - Ballard

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6101 Issued in TN

Practice address

1808 Decatur Pike # 20
Athens, TN 37303-4984

Phone

(423) 252-1637

Fax

(423) 744-1378

NPI assigned

Jun 20, 2016

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

Practice roles

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.

• MCM Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1538226840
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1831549963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 DECATUR PIKE # 20",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034984",
            "telephone_number": "423-252-1637",
            "fax_number": "423-744-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL - BALLARD",
        "first_name": "SARA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Milam, H.I.S.
• Lucille L Milen, PHYSICAL THERAPIST
• Jeanne Miller, RPT
• Pamela Sue Millsaps, MS
• Mindful Health and Healing Therapy Services PLLC
• MMS Knoxville Inc
• Sydney Mondshine, PA
• William Heath Moody, DMD
• Susan Kimberly Moore Rucker, MD
• Hannah Moore, SLP-CCC

• Physical Therapy Assistant in Athens, TN
• Providers in Athens, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.