Kaila Nicole Mikesch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2014027837 Issued in MO

Practice address

3950 Vogel Rd
Arnold, MO 63010-3790

Phone

(636) 461-0900

Fax

(636) 461-0047

NPI assigned

Jan 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaila N Bequette Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axes Physical Therapy LLCGroup PAC ID 3375840028, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaila.mikesch.p2@direct.athleticoltd.nextgenshare.com

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.

• Axes Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • O Fallon, MO
  • NPI 1003280421

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Axes Physical Therapy I, LLC

  • Physical Therapy Clinic/Center
  • Washington, MO
  • NPI 1679032700
  Medicare reassignment
• Axes Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931

  Physical Therapist

  NPD

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1174912984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FESTUS CENTRE DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282458",
            "telephone_number": "636-224-7511",
            "fax_number": "636-638-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 VOGEL RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103790",
            "telephone_number": "636-461-0900",
            "fax_number": "636-461-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESCH",
        "first_name": "KAILA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014027837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILA",
            "last_name": "BEQUETTE",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kamrie Sue Meyer, AGPNP
• Michelle A Meyer, PT
• Nicole Meyer, PTA
• Jordan Michalski, MOT, OTR/L
• Mid America Healthcare LP
• Heather Milford, OTR/L
• Brandi Rachelle Miller
• Brett D Miller
• Bruce C Miller
• Dawn M Miller, LPN

• Physical Therapist in Arnold, MO
• Providers in Arnold, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.