Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Willie Patrick Mitchell, PTA, COTA

Individual provider Physical Therapy Assistant · NPI 1427424621

Mr. Willie Patrick Mitchell, PTA, COTA is a Physical Therapy Assistant in Kernersville, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1695 Kernersville Medical Pkwy
Kernersville, NC 27284-7159
Phone: (336) 515-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 528 Minute Men Rd, Virginia Beach, VA 23462-2232 — (904) 445-8257

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A3460 (NC)

Record details

NPI number1427424621
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , COTA
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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