Physical Therapy Resources,PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05001914A Issued in IN

Legal business name

PHYSICAL THERAPY RESOURCES,PC

Doing business as

Teresa A. Mitchell, P.T.

Practice address

701 N Weinbach Ave Ste 310
Evansville, IN 47711-5990

Phone

(812) 479-3099

Fax

(812) 479-3099

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Ann Mitchell, P.T.

Title

Owner Therapist

Phone

(812) 479-3099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teresa A. Mitchell, P.T. Doing business as

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952440190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N WEINBACH AVE STE 310",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115990",
            "telephone_number": "812-479-3099",
            "fax_number": "812-479-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WEINBACH AVE STE 310",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115990",
            "telephone_number": "812-479-3099",
            "fax_number": "812-479-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY RESOURCES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "812-479-3099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05001914A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000090420",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teresa A. Mitchell, P.T.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.