Individual provider Active NPI

Whitney Sodl Mitchell, PT

  • Physical Therapist
  • Athens, PA
National Provider Identifier
1942284443
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019502 Issued in PA
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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 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

LicenseStateTypeSpecialty
PT019502PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Apr 10, 2017 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.

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.

Verify at the official NPI Registry.