Individual provider Active NPI

Mitchell D Lear, DPT

  • Physical Therapist
  • Albion, IL
National Provider Identifier
1902675358
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070027892 Issued in IL
Practice address
332 Industrial Dr
Albion, IL 62806-1300
Phone
(618) 445-3669
Fax
(618) 445-3672
NPI assigned
Dec 27, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070027892 IL Primary

Addresses

Primary practice location

332 Industrial Dr
Albion, IL 62806-1300

Mailing address

418 W 3Rd St
Owensboro, KY 42301-0704
Phone (270) 926-8145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109003086 IL Practitioner - Physical Therapist in Private Practice 3476904962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Performance Institute PSCGroup PAC ID 8729379888, 36 clinicians

Practice addresses (Care Compare)

332 Industrial Dr
Albion, IL 62806-1300
Phone (618) 445-7637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Performance Institute PSC Physical Therapist CurrentSince Nov 27, 2023 Accepting new patients

Locations

332 Industrial Dr
Albion, IL 62806
Phone (618) 445-3669

1301 W Evergreen Ave
Ste 1A
Effingham, IL 62401
Phone (217) 690-4882

300 E Morgan St
Newton, IL 62448
Phone (217) 690-4882

108 E Main St
Olney, IL 62450
Phone (618) 617-1200

210 S 7th St
Petersburg, IL 62675
Phone (618) 852-3100

418 W 3rd St
Owensboro, KY 42301
Phone (270) 926-8145

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1902675358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W 3RD ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423010704",
            "telephone_number": "270-926-8145",
            "fax_number": "270-926-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 INDUSTRIAL DR",
            "city": "ALBION",
            "state": "IL",
            "postal_code": "628061300",
            "telephone_number": "618-445-3669",
            "fax_number": "618-445-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAR",
        "first_name": "MITCHELL",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.