Individual provider Active NPI

Jonathan David Mitchell, DPT

  • Physical Therapist
  • Jasper, IN
National Provider Identifier
1851175228
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015315A Issued in IN
Practice address
1900 Saint Charles St
Jasper, IN 47546-9145
Phone
(812) 634-1211
NPI assigned
Aug 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05015315A IN Primary

Addresses

Primary practice location

1900 Saint Charles St
Jasper, IN 47546-9145

Mailing address

615 E 4TH St
Huntingburg, IN 47542-1433
Phone (812) 698-8753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927003845 IN Practitioner - Physical Therapist in Private Practice 6204280001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norris and Love Orthopaedic and Sports PCGroup PAC ID 4981695228, 12 clinicians

Practice addresses (Care Compare)

1900 Saint Charles St
Jasper, IN 47546-9145
Phone (812) 634-1211

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norris & Love Orthopaedic & Sports PC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Oct 16, 2025 Accepting new patients
Deaconess Specialty Physicians Inc Physical Therapist CurrentSince Oct 16, 2025 Accepting new patients
Deaconess Specialty Physicians, Inc Current Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1900 Saint Charles St
Jasper, IN 47546
Phone (812) 634-1211

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1851175228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 4TH ST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475421433",
            "telephone_number": "812-698-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SAINT CHARLES ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469145",
            "telephone_number": "812-634-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015315A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.