Individual
MR. MITCHELL R. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
014144
NY
225100000X
Physical Therapist
Primary
2899
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010114144
BLUE CHOICE
NY
01
—
020114144
BCBS
NY
01
—
145851FT
PREFERRED CARE
NY
01
—
601318000
OWCP
NY
01
—
7735556
AETNA
NY
Enumeration date
10/13/2006
Last updated
09/24/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up