HALEY MITCHELL (P.T, D.P.T) – Physical Therapist, NPI 1881049922
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA
Provider Addresses for HALEY MITCHELL (P.T, D.P.T)
4435 Eastgate Mall
#120
San Diego, CA 921211982
Phone: (559) 740-8120
Type: Location
51 Cowlitz St W
Castle Rock, WA 986119267
Phone: (360) 274-4550
Type: Location
5212 SE 52nd Ave
Portland, OR 972065629
Phone: (503) 777-1983
Fax: (503) 771-1984
Type: Location
3586, Southeast Nase Court, Milwaukie, Metro, Clackamas County, Oregon, 97222, United States
MILWAUKIE, OR 972226975
Phone: (559) 740-8120
Type: Mailing
909, Southwest 18th Avenue, Goose Hollow, Portland, Metro, Multnomah County, Oregon, 97205, United States
PORTLAND, OR 97205
Phone: (503) 962-1900
Type: Location
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (423) 238-7217
Type: Mailing
5707 MAIN ST
SPRINGFIELD, OR 974785426
Phone: (866) 483-5378
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230105000525 | I | Physical Therapist In Private Practice | OR | TBD |
| I20251021002137 | I | Physical Therapist In Private Practice | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR |
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