Mikala Ultis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29308 Issued in MD

Practice address

11046 New Georges Creek Rd SW
Frostburg, MD 21532-1448

Phone

(240) 284-2600

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• School Therapy Services, Inc

  • Pediatric Physical Therapist
  • Frostburg, MD
  • NPI 1144774506
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1013613470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 W FINZEL RD",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215324135",
            "telephone_number": "301-697-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11046 NEW GEORGES CREEK RD SW",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321448",
            "telephone_number": "240-284-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULTIS",
        "first_name": "MIKALA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004590",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Family Services
• Megan Thomas, PSYD
• Renee Tipton
• Transitioncare LLC
• Ryan A Tyler
• Upmc Western Maryland Corporation (FBMC)
• Upmc Western Maryland Corporation (UPMC Western Maryland)
• Upmc Western Maryland Health Services, LLC
• Upmc Western Maryland Health Services, LLC
• Donita Yvette Valentine, A.T.C

• Physical Therapist in Frostburg, MD
• Providers in Frostburg, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.