David Mikos, D.C., P.T., M.C.T.A.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004290 Issued in CT

Practice address

202 State St
North Haven, CT 06473-2207

Phone

(203) 239-4274

Fax

(203) 239-4290

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quinnipiac Physical Therapy and Sports Medicine PCGroup PAC ID 6103811930, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Quinnipiac Physical Therapy & Sports Medicine PC

  • Physical Therapist
  • North Haven, CT
  • NPI 1801896485
  Medicare reassignment Care Compare group NPD Authorized official
• Montowese Chiropractic Center LLC

  • Chiropractor
  • North Haven, CT
  • NPI 1982604567
  Medicare reassignment NPD Authorized official
• Village Street Physical Therapy and Sports Medicine P.C.

  • Physical Therapist
  • North Haven, CT
  • NPI 1548441090
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1104826890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-239-4274",
            "fax_number": "203-239-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-239-4274",
            "fax_number": "203-239-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C., P.T., M.C.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004290",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008050328 (CHIRO)",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004168086 (PT)",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metzger Chiropractic Center,LLC
• James M Metzger, D.C.,C.C.S.P.
• Christine Lorraine Meyer, LPC
• Michael P. Connair, M.D., Orthopaedic Surgeon, P.C.
• Clare Michalak, NBHWC
• Laura Miller
• Mindful Mediation LLC
• Lindsey Miranda, LADC
• Saifulla Baig Mirza, RPT
• Lauren Mitchell, APRN

• Physical Therapist in North Haven, CT
• Providers in North Haven, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.