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JACK MIXON RKT
NPI 1497204739
Kinesiotherapist in Greenville, SC

Active since September 28, 2016
41 PARK CREEK DR, GREENVILLE, SC 29605(864) 299-1600 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Mixon Rkt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK MIXON RKT (NPI 1497204739) is an individual kinesiotherapist in Greenville, South Carolina, licensed in Mississippi (1982) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1497204739
Entity TypeIndividualMale
Primary Taxonomy226300000X
Provider Legal NameJACK MIXONCredential: RKT
Location Address41 PARK CREEK DRGreenville, SC 29605-4270
Mailing Address41 Park Creek DrGreenville, SC 29605-4270
Phone(864) 299-1600
Sole ProprietorNo
Enumeration DateSeptember 28, 2016
✔ NPI 1497204739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyKinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code226300000X
License✔ Licensed in MS · 1982
Definition
A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals.
41 PARK CREEK DR, Greenville, SC 29605
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARC TARO ISHIZUKA D.O.
Psychiatry & Neurology (Psychiatry)
41 PARK CREEK DR, VA OUTPATIENT CLINIC IN GREENVILLE
GREENVILLE, SC 29605
Greenville County (864) 299-1600
DANA RONCONI LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
MRS. AMANDA JOHNSON-LATHAM LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
DR. SCOTT MOGAVERO OD
Optometrist
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
BRITTNEY CHANTELL WHITE LCSW, LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 640-0065
DR. KEVIN IRMITER PH.D.
Psychologist (Counseling)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
MRS. DONNA SHILANE OUTLAW-THOMAS APRN-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (803) 600-7106
COLUMBIA VAMC
Clinic/Center (VA)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (828) 257-2333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Mixon's NPI number?

The NPI number for Jack Mixon is 1497204739. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Jack Mixon located?

Jack Mixon practices at 41 Park Creek Dr, Greenville, SC 29605. The listed phone number is (864) 299-1600.

What is Jack Mixon's specialty?

The primary specialty registered for this NPI is Kinesiotherapist with taxonomy code 226300000X.

When was this NPI record last updated?

The NPPES record for Jack Mixon was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.