JORDAN M MITCHELL (NPI# 1912552852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912552852 |
| Entity Type | Individual |
| Full Name | JORDAN M MITCHELL |
| Credential | PT, DPT |
| Practice Address |
4525 S Florida Ave Ste 25 Lakeland FL 33813-2184 |
| Mailing Address |
21756 State Road 54 Ste 102 Lutz FL 33549-2905 |
| Practice Telephone | 8638124064 |
| Practice Fax Number | 8554978449 |
| Mailing Telephone | 7274755540 |
| Mailing Fax Number | 8442138986 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT34857 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PT LICENSE | PT34857 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263311 | Jordan Alexander Mitchell | Massage Therapist | 3653 Ne John Olsen Ave, Hillsboro, OR 97124-5815 | 2018-01-26 |
| 1891192472 | Jordan Mitchell | Specialist/Technologist | 1003 Meadow Ln, Anderson, SC 29621-1916 | 2014-11-26 |
| 1639788656 | Jordan Patricia Mitchell | Pharmacist | 4201 Meadowdale Blvd, North Chesterfield, VA 23234-5465 | 2020-07-27 |
| 1124585567 | Jordan Noel Mitchell | Behavior Technician | 5363 N Fresno St Ste 105, Fresno, CA 93710-6848 | 2019-02-21 |
| 1063983096 | Jordan Elizabeth Mitchell | Social Worker | 302 Courthouse Rd Ste G, Gulfport, MS 39507-1890 | 2018-12-17 |
| 1932634961 | Jordan Scott Mitchell | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 350, Houston, TX 77030-3000 | 2017-04-27 |
| 1437691730 | Jordan Isaac Mitchell | Counselor | 1525 Cuba Rd, Mayfield, KY 42066-6809 | 2016-11-17 |
| 1609320126 | Jordan Marie Mitchell | Nurse Practitioner | 529 Broadway Ave S, Buhl, ID 83316-1312 | 2016-08-12 |
| 1386840684 | Jordan Lindsey Mitchell | Obstetrics & Gynecology | 4461 Coit Rd, Suite 211, Frisco, TX 75035-0521 | 2007-06-23 |
| Street Address |
4525 S FLORIDA AVE STE 25 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508378290 | Optimal Performance and Physical Therapies Lakeland, LLC | Physical Therapist | 4525 S Florida Ave Ste 25, Lakeland, FL 33813-2184 | 2017-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400395 | Morgan Musselwhite | Physical Therapist | 4720 Cleveland Heights Blvd Ste 101, Lakeland, FL 33813-2244 | 2020-09-02 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1629626791 | Motion 4 Kids | Physical Therapist | 11680 Lakeland Acres Rd, Lakeland, FL 33810-1006 | 2019-08-30 |
| 1700358900 | Lauren Marie Morra | Physical Therapist | 404 Hibriten Way, Lakeland, FL 33803-2228 | 2018-12-28 |
| 1275024325 | Dhruvkumar Patel | Physical Therapist | 5526 Vintage View Pass, Lakeland, FL 33812-4061 | 2018-05-24 |
| 1962919852 | Jessica Alexandrea Klecki | Physical Therapist | 130 S Mass Ave Ste 601, Lakeland, FL 33801-5021 | 2018-01-02 |
| 1508378290 | Optimal Performance and Physical Therapies Lakeland, LLC | Physical Therapist | 4525 S Florida Ave Ste 25, Lakeland, FL 33813-2184 | 2017-11-02 |
| 1073022083 | Odeeline Soriano | Physical Therapist | 1325 Grasslands Blvd Apt 113, Lakeland, FL 33803-5443 | 2017-09-21 |
| 1407212244 | Ramir Bautista Soriano | Physical Therapist | 5634 Hillview Ct, Lakeland, FL 33810-3246 | 2016-01-09 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.