Alicia Mitchell, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

173502 Issued in KY

Practice address

3310 Tates Creek Rd
Lexington, KY 40502-3487

Phone

(859) 266-2129

NPI assigned

Jan 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1861023871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 TATES CREEK RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 TATES CREEK RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023487",
            "telephone_number": "859-266-2129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Horizon Dr",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291548391",
            "country_code": "US",
            "telephone_number": "502-819-0932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALICIA",
        "credential": "MSOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "173502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY OT LICENCE",
            "identifier": "173502",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Filmon Misgina, M.S.
• Mission Lexington, Inc.
• Naoki Misumida, M.D.
• Kevin Micael Mitcham, PA
• Madalyn Mitcham, MD
• Arianna Victoria,Merced,Knuf Mitchell, LPCC
• Bonnie Mitchell, MD
• Carol Mitchell, MD
• Chelsea Mitchell, APRN, DNP
• Clara Mitchell

• Occupational Therapist in Lexington, KY
• Providers in Lexington, KY by specialty
• Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.