Active NPI
Dollia Marie Mickler, PTA
- Physical Therapy Assistant
- Noblesville, IN
National Provider Identifier
1205171071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06002811A
- Practice address
- 102 Clarendon Dr Apt 303
Noblesville, IN 46062 - Phone
- (317) 385-1343
- NPI assigned
- Dec 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06002811A | IN | Primary |
Addresses
Primary practice location
102 Clarendon Dr Apt 303
Noblesville, IN 46062
Mailing address
102 Clarendon Dr Apt 303
Noblesville, IN 46062
Phone (317) 385-1343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06002811A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06002811A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1205171071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CLARENDON DR APT 303",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "46062",
"telephone_number": "317-385-1343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CLARENDON DR APT 303",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "46062",
"telephone_number": "317-385-1343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKLER",
"first_name": "DOLLIA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06002811A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "06002811A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
- Carl Dana Meyer, O.D.
- Michael a Rothbaum MD LLC (Rothbaum Eye and Vision)
- Michael D. Bettner, DDS
- Sierra Michaels
- Jaclyn Michelle Michel, DPT
- Mid America Clinical Laboratories, LLC
- Antje H Midkiff, R.PH.
- Midwest Ambulance Service of Indiana LLC (Midwest Ambulance Service 2)
- Midwest Eye Consultants, P.C. (Midwest Eye Consultants #32)
- Midwest Fertility Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.