Active NPI
Aimee M Mitchell, ATC
- Athletic Trainer
- Basking Ridge, NJ
National Provider Identifier
1881965952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00116700
- Practice address
- 268 S Finley Ave
Basking Ridge, NJ 07920-1435 - Phone
- (908) 204-2585
- Fax
- (908) 204-1356
- NPI assigned
- Jan 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00116700 | NM | Primary |
Addresses
Primary practice location
268 S Finley Ave
Basking Ridge, NJ 07920-1435
Mailing address
32 Rock Rd
Long Valley, NJ 07853-3301
Phone (973) 906-1426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00116700 | NM | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1881965952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 ROCK RD",
"city": "LONG VALLEY",
"state": "NJ",
"postal_code": "078533301",
"telephone_number": "973-906-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 S FINLEY AVE",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079201435",
"telephone_number": "908-204-2585",
"fax_number": "908-204-1356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "AIMEE",
"middle_name": "M",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-22",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NM",
"license": "25MT00116700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Basking Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.