Provider Demographics
NPI:1245526284
Name:MITCHELL, BARBARA ANN (PT)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:ANN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 812
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WV
Mailing Address - Zip Code:26807-0812
Mailing Address - Country:US
Mailing Address - Phone:540-607-6959
Mailing Address - Fax:
Practice Address - Street 1:141 MAPLE AVE.
Practice Address - Street 2:PENDLETON OUTPATIENT THERAPY,
Practice Address - City:FRANKLIN
Practice Address - State:WV
Practice Address - Zip Code:26807
Practice Address - Country:US
Practice Address - Phone:304-358-2325
Practice Address - Fax:304-358-2334
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006593225100000X
WV002935225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0003817002Medicaid
WV0003817002Medicaid