Healthcare Provider Details

I. General information

NPI: 1790510147
Provider Name (Legal Business Name): DAVID MITCHELL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 E ARAPAHOE RD STE 110
CENTENNIAL CO
80112-4044
US

IV. Provider business mailing address

14000 E ARAPAHOE RD STE 110
CENTENNIAL CO
80112-4044
US

V. Phone/Fax

Practice location:
  • Phone: 720-497-6110
  • Fax: 720-497-6739
Mailing address:
  • Phone: 720-497-6110
  • Fax: 720-497-6739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number21297
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02287400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: