Brandon Mitchell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

52689 Issued in CA

Practice address

3737 Martin Luther King Jr Blvd Ste 604
Lynwood, CA 90262-3518

Phone

(562) 333-3700

NPI assigned

Oct 5, 2023

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.

• Total Education Solutions Inc

  dba TES Therapy

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1659535052

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1871373803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11158 LINDEN ST",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622919",
            "telephone_number": "424-205-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD STE 604",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623518",
            "telephone_number": "562-333-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BRANDON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52689",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "97930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Clinton Miller, M.D.
• Van H Miller, MD
• Charlotte Mims
• Mirzaians Chiropractic & Physical Rehabilitation Services, Inc. (Physical Rehabilitation Services, Inc.)
• Arbi Mirzaians, D.C.
• Trianna Mitsanas, ACSW
• Jennifer P Mixon
• Melody Mo
• Jonathan Moncada, MD
• Linda Money

• Physical Therapy Assistant in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; 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.