Mrs Joann Dawn Mix, PT - Physical Therapist in Belleville, IL

Mrs Joann Dawn Mix, PT is a Physical Therapist based in Belleville, Illinois. Mrs Joann Dawn Mix is licensed to practice in Kansas (license number 11-05712) and her current practice location is 1201 Hartman Ln, Belleville, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 207-1610.

NPI number for Mrs Joann Dawn Mix is 1255681888 and her current mailing address is 1201 Hartman Ln, Belleville, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255681888.

Contact Information

Mrs Joann Dawn Mix, PT
1201 Hartman Ln,
Belleville, IL 62221-8402
(618) 207-1610
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Joann Dawn Mix
GenderFemale
SpecialityPhysical Therapist
Location1201 Hartman Ln, Belleville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255681888
  • Provider Enumeration Date: 09/11/2012
  • Last Update Date: 04/02/2018

Medical Identifiers

Medical identifiers for Mrs Joann Dawn Mix such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255681888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 070018003 (Illinois)Secondary
225100000XPhysical Therapist 40QA00986500 (New Jersey)Secondary
225100000XPhysical Therapist 2010006857 (Missouri)Secondary
225100000XPhysical Therapist PT-3992 (Hawaii)Secondary
225100000XPhysical Therapist PTH7173 (Alabama)Secondary
225100000XPhysical Therapist PT011528 (Georgia)Secondary
225100000XPhysical Therapist 40574 (California)Secondary
225100000XPhysical Therapist 11-05712 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Joann Dawn Mix is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Joann Dawn Mix, PT
1201 Hartman Ln,
Belleville, IL 62221-8402

Ph: (618) 207-1610
Mrs Joann Dawn Mix, PT
1201 Hartman Ln,
Belleville, IL 62221-8402

Ph: (618) 207-1610

Reviews and Comments


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