Individual provider Active NPI

Mikayla Patricia Petersen, PT, DPT

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1477237113
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT32960 Issued in AZ
Practice address
388 Harding PL Ste a
Nashville, TN 37211-3928
Phone
(615) 220-5796
Fax
(615) 220-8829
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X LPT32960 AZ Primary

Addresses

Primary practice location

388 Harding PL Ste a
Nashville, TN 37211-3928

Mailing address

1173 Rock Springs Rd Ste 105
Smyrna, TN 37167-8414
Phone (615) 220-5796

Other names 1

  • Dr. Mikayla Patricia McManimon Garland Former name

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
LPT32960AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feltz Therapy Services, LLC Multi-Specialty CurrentSince Jun 29, 2025 Accepting new patients
North Valley Pediatric Therapy, LLC Multi-Specialty PastSince Feb 2, 2025 Accepting new patients

Locations

388 Harding Pl
Ste A
Nashville, TN 37211
Phone (865) 803-9652

1173 Rock Springs Rd
Ste 105
Smyrna, TN 37167
Phone (615) 220-5756

Organizations & group practices 2

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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1477237113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 ROCK SPRINGS RD STE 105",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371678414",
            "telephone_number": "615-220-5796",
            "fax_number": "615-220-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 HARDING PL STE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113928",
            "telephone_number": "615-220-5796",
            "fax_number": "615-220-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "MIKAYLA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT32960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "MCMANIMON GARLAND",
            "middle_name": "PATRICIA",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.