Active NPI
Shannon Renee Mitchell, PT
- Physical Therapist
- Cambridge, OH
National Provider Identifier
1942427422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 09946
- Practice address
- 128 E 8TH St
Cambridge, OH 43725-2364 - Phone
- (740) 439-3558
- NPI assigned
- Apr 19, 2007
- Last updated
- Jan 21, 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 | 09946 | OH | Primary |
Addresses
Primary practice location
128 E 8TH St
Cambridge, OH 43725-2364
Mailing address
10560 Rock Hill Rd
Cambridge, OH 43725-9583
Phone (740) 705-1204
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09946 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Educational Service Center | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Cambridge, OH
- NPI 1043419260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1942427422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 ROCK HILL RD",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259583",
"telephone_number": "740-705-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E 8TH ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437252364",
"telephone_number": "740-439-3558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "SHANNON",
"middle_name": "RENEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "09946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.