Active NPI
Jill Christina Mitchell, DPT
- Physical Therapist
- Plano, TX
National Provider Identifier
1992053219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1219621
- Practice address
- 6300 W Parker Rd Ste G21
Plano, TX 75093-8105 - Phone
- (972) 981-8185
- NPI assigned
- Aug 16, 2012
- 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 | 1219621 | TX | Primary |
Addresses
Primary practice location
6300 W Parker Rd Ste G21
Plano, TX 75093-8105
Mailing address
125 N Windomere Ave
Dallas, TX 75208-5331
Phone (972) 741-6632
Other practice location 1
16250 Knoll Trail Dr Ste 101
Dallas, TX 75248-2868
Phone (214) 679-3891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16250 Knoll Trail Dr
Dallas, TX 75248-2874
Phone (214) 679-3891
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Ellen Nguyen | Physical Therapist | Current | Accepting new patients |
| Thrive Physio and Wellness, PLLC | Current | Accepting new patients | |
| Holistic Pain Management of Wyoming, LLC | Past | Accepting new patients |
Locations
16250 Knoll Trail Dr
Ste 101
Dallas, TX 75248
Phone (214) 679-3891
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 and National Provider Directory roles.
-
- Physical Therapist
- Dallas, TX
- NPI 1346875275
-
- Clinic/Center
- Dallas, TX
- NPI 1124600440
-
- Family Nurse Practitioner
- Riverton, WY
- NPI 1487295846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1992053219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N WINDOMERE AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752085331",
"telephone_number": "972-741-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 W PARKER RD STE G21",
"city": "PLANO",
"state": "TX",
"postal_code": "750938105",
"telephone_number": "972-981-8185"
}
],
"practiceLocations": [
{
"address_1": "16250 Knoll Trail Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752482868",
"country_code": "US",
"telephone_number": "214-679-3891",
"fax_number": "469-405-2994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "JILL",
"middle_name": "CHRISTINA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1219621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.