Mitchell Kauk

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT10959 Issued in CA

Legal business name

MITCHELL KAUK

Practice address

224A Weller St
Petaluma, CA 94952-3136

Phone

(707) 762-7678

Fax

(707) 762-7679

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Kauk, PT OCS

Title

Owner Director

Phone

(707) 762-7678

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Petaluma Orthopaedic & Sports Therapy (P.O.S.T.) Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dale B Phillips, RPT

  • Physical Therapist
  • Petaluma, CA
  • NPI 1558502393
  NPD (past)
• Justin Henry Weeks, D.P.T

  • Physical Therapist
  • Petaluma, CA
  • NPI 1295171411
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1972667947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224A WELLER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523136",
            "telephone_number": "707-762-7678",
            "fax_number": "707-762-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224A WELLER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523136",
            "telephone_number": "707-762-7678",
            "fax_number": "707-762-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL KAUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "KAUK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "707-762-7678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT10959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petaluma Orthopaedic & Sports Therapy (P.O.S.T.)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kala Minkley
• Roger Evan Minkow, M.D.
• Harvey Minnick
• Erick Ruiz Miranda, M.D.
• Mistyrushingcrna, Inc.
• Jennifer Mitchell, MA, LMFT
• Selena Emily Mitchell, LAC, AMFT
• Cheryl L Mittry, RESPITE CARE
• Morgan Miyano
• Nancy Michael Mjema

• Orthopedic Physical Therapist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.