Active NPI
Whitney Sodl Mitchell, PT
- Physical Therapist
- Athens, PA
National Provider Identifier
1942284443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019502
- Practice address
- 116 Walnut St
Athens, PA 18810-1723 - Phone
- (570) 888-0057
- Fax
- (570) 888-0058
- NPI assigned
- Nov 30, 2005
- Last updated
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019502 | PA | Primary |
Addresses
Primary practice location
116 Walnut St
Athens, PA 18810-1723
Mailing address
208 S Main St
Moscow, PA 18444-9135
Phone (570) 842-9323
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019502 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Therapy & Sports Rehab LLC | Physical Therapist | Past | Accepting new patients |
| Pulmonary & Sleep Associates of Central Jersey,PC | Past | Accepting new patients | |
| Endurance Rehabilitation and Wellness Center, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- East Brunswick, NJ
- NPI 1790019867
-
- Occupational Therapist
- East Brunswick, NJ
- NPI 1043294523
Physical Therapist
-
- Pulmonary Disease Physician
- East Brunswick, NJ
- NPI 1073886818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1942284443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 S MAIN ST",
"city": "MOSCOW",
"state": "PA",
"postal_code": "184449135",
"telephone_number": "570-842-9323",
"fax_number": "570-842-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 WALNUT ST",
"city": "ATHENS",
"state": "PA",
"postal_code": "188101723",
"telephone_number": "570-888-0057",
"fax_number": "570-888-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "WHITNEY",
"middle_name": "SODL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.