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

Mitchell Hammack, DPT

Individual provider Physical Therapist · NPI 1477146462

Mitchell Hammack, DPT is a Physical Therapist in Private Practice in O Fallon, Missouri. Qualified in 2020, 6 years ago. Practices with Axes Physical Therapy LLC, a 113-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone: (636) 206-6540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2021006186 (MO)

Record details

NPI number1477146462
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 19, 2021
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021
Mailing address4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in O Fallon