Jack Mixon, RKT
NPI 1497204739ActiveIndividual· Kinesiotherapist· Greenville, SC
Kinesiotherapist (RKT) in Greenville, South Carolina, licensed in MS, with an NPI issued in September 2016.
Overview
| NPI | 1497204739 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RKT |
| Sole proprietor | No |
| NPI issued | Sep 28, 2016 |
| Last updated in NPPES | Sep 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Kinesiotherapist Primary | 226300000X | 1982 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|