Teresa Ann Mitchell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05001914A Issued in IN

Practice address

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

Phone

(812) 479-3099

Fax

(812) 479-3099

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992738868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 WESTLAKE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477127201",
            "telephone_number": "812-424-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WEINBACH AVE",
            "address_2": "SUITE 310",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115990",
            "telephone_number": "812-479-3099",
            "fax_number": "812-479-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_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": []
}

• Bryce Matthew Mitchell, PT
• Elizabeth Anne Mitchell, LPN
• Erica Mitchell
• Kristen E Mitchell, OT
• Linda Y Mitchell, PAC
• Wende K Mitchell, FNP-C
• Eric Lee Mitz, DC
• Maui Mobelini
• Mobile Podiatry of Indiana
• Harshit H Modi, MD

• 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 Jul 8, 2007; 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.