Individual provider Active NPI

Francis Jerome Mikloucich Jr., D.P.T.

  • Physical Therapist
  • Leland, NC
National Provider Identifier
1053356600
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P9325 Issued in NC
Practice address
1168 E Cutlar Xing Ste 201
Leland, NC 28451-6485
Phone
(910) 332-3800
Fax
(910) 251-0421
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P9325 NC Primary

Addresses

Primary practice location

1168 E Cutlar Xing Ste 201
Leland, NC 28451-6485

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255

Other identifiers 1

IdentifierTypeStateIssuer
1053356600MedicaidNC

Other names 1

  • Mr. Frank Jerome Mikloucich Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801000436 NC Practitioner - Physical Therapist in Private Practice 4284637919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

3787 Shipyard Blvd
Wilmington, NC 28403-6148
Phone (910) 332-3800

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Jun 29, 2017 Accepting new patients
Emergeortho PA Physical Therapist CurrentSince Jun 29, 2017 Accepting new patients
Upstate Physical Therapy P.C. Physical Therapist PastSince Oct 1, 2001 Accepting new patients
Proactive Therapy of North Carolina Inc Past Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

1168 E Cutlar Crossing
Leland, NC 28451
Phone (814) 836-8113

1168 E Cutlar Crossing
Ste 201
Leland, NC 28451

2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534

3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 341-2444

Interoperability endpoints

  • Direct secure messaging: frank.mikloucich.1@847.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1053356600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-220-5255",
            "fax_number": "919-220-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 E CUTLAR XING STE 201",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516485",
            "telephone_number": "910-332-3800",
            "fax_number": "910-251-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLOUCICH",
        "first_name": "FRANCIS",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053356600",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "MIKLOUCICH",
            "middle_name": "JEROME",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "D.P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.