Mitchelle Therapy Services, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

O-T0717 Issued in AR

Legal business name

MITCHELLE THERAPY SERVICES, INC

Practice address

1905 Edwards Rd
Alma, AR 72921-7957

Phone

(479) 462-3177

Fax

(479) 474-6446

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Jocelyn Mitchelle, MS, OT/L

Title

President

Phone

(479) 462-3177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1891988820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 EDWARDS RD",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729217957",
            "telephone_number": "479-462-3177",
            "fax_number": "479-474-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 EDWARDS RD",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729217957",
            "telephone_number": "479-462-3177",
            "fax_number": "479-474-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELLE THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELLE",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-462-3177",
        "authorized_official_credential": "MS, OT/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "O-T0717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodreka Meadows
• Jeffrey A. Medlock, M.D.
• Jasmine Grace Meier
• Melinda Mendzef
• Candace Mache Miles
• Linna Faye Moffet
• Ebony Sheng Yang Montgomery
• Cheyenne Moore
• Nikki Moore
• Jennifer Morris, PTA

• Clinic/Center in Alma, AR
• Providers in Alma, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.