Individual provider Active NPI

Jacob Mikoliczyk

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1467301325
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5995 Issued in NC
Practice address
834 Tyvola Rd
Charlotte, NC 28217-3598
Phone
(980) 301-5983
NPI assigned
Jan 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5995 NC Primary

Addresses

Primary practice location

834 Tyvola Rd
Charlotte, NC 28217-3598

Mailing address

834 Tyvola Rd
Charlotte, NC 28217-3598

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

LicenseStateTypeSpecialty
5995NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Chiropractic PLLC Chiropractor Current Accepting new patients

Locations

834 Tyvola Rd
Charlotte, NC 28217
Phone (980) 301-5938

Organizations & group practices 1

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": "1769212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1467301325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 TYVOLA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 TYVOLA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173598",
            "telephone_number": "980-301-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLICZYK",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; 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.