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Mitchell Hammack, DPT

NPI 1477146462ActiveIndividual· Physical Therapist· O Fallon, MO

Physical Therapist (DPT) with Axes Physical Therapy LLC, practicing in O Fallon, Missouri. Medicare paid $28,278 for services to 34 patients in 2024.

Overview

NPI1477146462
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedFeb 19, 2021
Last updated in NPPESFeb 19, 2021
Certified by providerFeb 19, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X2021006186MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (MO)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients34
Services billed1,398 across 10 procedure codes
Paid by Medicare$28,278

Medicare sources and data years

Education and affiliations

Graduation year2020
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in O Fallon

All 138 physical therapists in O Fallon · All physical therapists in Missouri