Lyneil Mitchell Physical Therapy, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT019593 Issued in PA

Legal business name

LYNEIL MITCHELL PHYSICAL THERAPY, PC

Practice address

20630 Route 19
Suite 102
Cranberry TWP, PA 16066-6021

Phone

(814) 881-4717

NPI assigned

Jan 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lyneil CJ Mitchell, DPT

Title

President

Phone

(814) 881-4717

Specialties & licenses 1

Addresses

Other names 1

• Revolution Physical Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Shutt, DPT

  • Physical Therapist
  • Cranberry TWP, PA
  • NPI 1578954251
  NPD (past)
• Brian William Stroia, PTA

  • Physical Therapy Assistant
  • Cranberry Township, PA
  • NPI 1871935296
  NPD (past)

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1861796799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20630 ROUTE 19",
            "address_2": "SUITE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20630 ROUTE 19",
            "address_2": "SUITE 102",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666021",
            "telephone_number": "814-881-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNEIL MITCHELL PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LYNEIL",
        "authorized_official_middle_name": "CJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-881-4717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT019593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logos Care Solutions PA, LLC
• Logos Wound Care Solutions PA LLC
• Cassandra Long, MSW
• Charles Luke
• Luxottica Retail North America Inc
• Dorothy Machatzke, DNP
• Kelli Macher, LSW
• Lisa Mager
• Joseph Makowski, PHARM D.
• Anthony Michael Manes, DC

• Physical Therapy Clinic/Center in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.