Samuel Justin Mitchell, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9900 Issued in FL

Practice address

8792 State Road 70 E Ste 101
Bradenton, FL 34202-3706

Phone

(941) 756-4362

Fax

(941) 755-4652

NPI assigned

Feb 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manatee Wellness and Chiropractic Centers, IncGroup PAC ID 5991982258, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Manatee Wellness & Chiropractic Centers, Inc

  • Rehabilitation Chiropractor
  • Bradenton, FL
  • NPI 1528369279
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1871815134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 9TH AVENUE CIR NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342129559",
            "telephone_number": "727-560-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8792 STATE ROAD 70 E STE 101",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342023706",
            "telephone_number": "941-756-4362",
            "fax_number": "941-755-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SAMUEL",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronda Sue Mitchell-Cosgrove, MSW, LCSW
• Amanda Mitchell, D.C.
• Cassandra Renee Mitchell, LMHC
• Gwendolyn Mitchell, MASSAGE THERAPIST
• Penni Mitchell, LCSW
• Tammy Mitchell, BA SLP-A
• Lakia Foster Mobley
• Modern Movement Physical Therapy, PLLC
• Heidi Moen, BS
• Erin Elizabeth Moffett, DO, MPH

• Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.