Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Mitchell, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1922813609

Madison Mitchell, PTA is a Physical Medicine & Rehabilitation Physician in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2103 N Veterans Pkwy
Bloomington, IL 61704-0908
Phone: (309) 948-6469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 160.010352 (IL)

Record details

NPI number1922813609
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address2103 N Veterans Pkwy, Bloomington, IL 61704-0908

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