Jennifer Mitol, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

64072 Issued in OR

Practice address

946 SW Veterans Way Ste 100
Redmond, OR 97756-2700

Phone

(541) 527-4386

NPI assigned

Sep 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redbird LLCGroup PAC ID 3870891278, 21 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.

• Redbird LLC

  • Physical Therapist
  • Bend, OR
  • NPI 1306213913
  Medicare reassignment Care Compare group NPD
• Jenmitolpt LLC

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1407669617
  NPD Authorized official
• Sarol Ventures LLC

  • Physical Therapy Clinic/Center
  • Round Rock, TX
  • NPI 1871242032

  Physical Therapist

  NPD

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1891029534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 SW VETERANS WAY STE 100",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562700",
            "telephone_number": "541-527-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 SW VETERANS WAY STE 100",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562700",
            "telephone_number": "541-527-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITOL",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015897",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1235920",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "64072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesika Miller, RN
• Lisa Jeanette Miller, M.ED
• David A Minshew, MA
• Suzanne Minshew
• Moriah Rose Mititiero
• Rachel Lynne Mitzel, CRNA, PMHNP-BC
• Brittany Molen
• Peter Hay Mollo, PT
• Michal Alice Montana, MD
• Ariel Monteau, CNM

• Orthopedic Physical Therapist in Redmond, OR
• Providers in Redmond, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.