Luke Mitchell

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

408496 Issued in OR

Practice address

2898 Friendly Street
Eugene, OR 97405

Phone

(575) 644-6355

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Pro Social Therapy Services LLC

  • Pediatric Occupational Therapist
  • Albuquerque, NM
  • NPI 1902510845
  NPD Authorized official

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1861788820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2898 FRIENDLY STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "575-644-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 FRIENDLY STREET",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "575-644-6355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810031803",
            "country_code": "US",
            "telephone_number": "575-644-6355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "408496",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Sarah Mitchell, PSS, CRM, THW
• Jennifer Mitchell, M.D.
• Jennifer Alisha Mitchell
• Jillanna Diane Mitchell
• Kurtis James Mitchell, QMHP LMFT
• Miriam Anna-Lisa Mitchell, ND
• Nicholas Garrett Mitchell
• Patricia Mitchell
• Timothy A Mitchell, M.D.
• Shane Mitrov

• Occupational Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.