P Praxis·MD
● Active Type 1 · Individual

Mitchel Ideue, PT

Physical Therapist·Fort Stewart, GA· NPI 1073661294 · Enumerated 2007 · 19 years on NPI
Ideue is 1 of 36 physical therapist providers in Fort Stewart and 1 of 7225 in Georgia.
NPI age
19 years
Enumerated 2007-01-05
Primary specialty
Physical Therapist
Licensed in
HI
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7225 active physical therapist providers in Georgia.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
Winn Army Community Hospital, 1061 Harmon Ave
Fort Stewart, GA 31314
📞 8089538522
Mailing address
Winn Army Community Hospital, 1061 Harmon Ave
Fort Stewart, GA 31314

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    taxonomy 225100000X

Identifiers

TypeValueNotes
01 (HI) 0000258939 BC BS HMSA
01 (HI) 134284270 TAX ID

Practice context

Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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