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

Mitchell V Prunk, DPT

Individual provider Physical Therapist · NPI 1215596101

Mitchell V Prunk, DPT is a Physical Therapist in Private Practice in Albany, Oregon. Qualified in 2019, 7 years ago. Practices with Albany General Hospital, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2019
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

400 Hickory St NW Ste 201
Albany, OR 97321-1700
Phone: (541) 812-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1046 6th Ave Sw, Albany, OR 97321-1916 — (541) 812-4160

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 63232 (OR)

Record details

NPI number1215596101
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing addressPo Box 1189, Corvallis, OR 97339-1189

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Albany General Hospital — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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