Charlene M Mitchell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.013842 Issued in OH

Practice address

625 Africa Rd Ste 160
Westerville, OH 43082-9830

Phone

(614) 392-2812

Fax

(614) 392-2816

NPI assigned

Oct 16, 2012

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • West Chester, OH
  • NPI 1174153266
  Medicare reassignment Care Compare group NPD
• Ohio Luna Care Physical Therapy LLC

  • Physical Therapist
  • Columbus, OH
  • NPI 1285244996
  Medicare reassignment NPD
• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194
  Medicare reassignment
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1881947869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "740-972-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 AFRICA RD STE 160",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829830",
            "telephone_number": "614-392-2812",
            "fax_number": "614-392-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHARLENE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.013842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirror Health Clinic LLC
• Mirror Health LLC
• Meenal Misal, M.D.
• Thomas Misiuk
• Mispace, Inc.
• Erica Mitchell, RD
• Francine Virginia Mitchell
• Haley Margaret Mitchell
• Joseph A Mitchell, DDS
• Joy Mitchell, PHD

• Physical Therapist in Westerville, OH
• Providers in Westerville, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.