Active NPI
Justin Corbin Mitchell, PT
- Physical Therapist
- Derby, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03235
- Practice address
- 1101 N Rock Rd Ste 300
Derby, KS 67037-3798 - Phone
- (316) 260-3311
- Fax
- (316) 260-6696
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- 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 | 11-03235 | KS | Primary |
Addresses
Primary practice location
1101 N Rock Rd Ste 300
Derby, KS 67037-3798
Mailing address
1101 N Rock Rd Ste 300
Derby, KS 67037-3798
Phone (316) 260-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12627 E Central Ave
Suite 308
Wichita, KS 67206-2839
Phone (316) 260-3311
1923 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 630-9300
1927 N Webb Rd
Wichita, KS 67206-3405
Phone (316) 630-9300
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.9 of 100
- Quality
- 62.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Physical Therapy LLC | Current | Accepting new patients | |
| Mid-America Orthopedics LLC | Current | Accepting new patients | |
| Mid-America Orthopedics LLC | Past | Accepting new patients | |
| Mid-America Orthopedics, P.a. | Past | Accepting new patients |
Locations
1101 N Rock Rd
Ste 300
Derby, KS 67037
Phone (316) 425-2400
1824 E James St
Derby, KS 67037
Phone (316) 630-9300
1635 Freedom St
Ste 900
Derby, KS 67037
Phone (316) 630-9300
12627 E Central Ave
Wichita, KS 67206
12627 E Central Ave
Ste 308
Wichita, KS 67206
3223 N Webb Rd
Ste 2
Wichita, KS 67226
Phone (316) 609-3040
1923 N Webb Rd
Wichita, KS 67206
Phone (316) 262-4886
Interoperability endpoints
- justin.mitchell.1@26355.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Wichita, KS
- NPI 1659516029
-
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1487287082
-
- Durable Medical Equipment & Medical Supplies
- Derby, KS
- NPI 1386961688
-
- Orthopaedic Surgery Physician
- Wichita, KS
- NPI 1770550592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1982804332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N ROCK RD STE 300",
"city": "DERBY",
"state": "KS",
"postal_code": "670373798",
"telephone_number": "316-260-3311",
"fax_number": "316-260-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N ROCK RD STE 300",
"city": "DERBY",
"state": "KS",
"postal_code": "670373798",
"telephone_number": "316-260-3311",
"fax_number": "316-260-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JUSTIN",
"middle_name": "CORBIN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.