Individual provider Active NPI

Jamie Kosch Mikolay, PT

  • Physical Therapist
  • Guilford, CT
National Provider Identifier
1598892440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007023 Issued in CT
Practice address
2351 Boston Post Road
Suite 204
Guilford, CT 06437-4360
Phone
(203) 453-4321
Fax
(203) 453-4322
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007023 CT Primary

Addresses

Primary practice location

2351 Boston Post Road
Suite 204
Guilford, CT 06437-4360

Mailing address

105 Winthrop Rd
Guilford, CT 06437-1632
Phone (203) 453-1535

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
007023CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Physical Therapy, LLC Physical Therapist PastSince Apr 1, 2007 Accepting new patients
Cross Therapy, LLC Physical Therapist Past Accepting new patients
Physical Therapy Center of Madison Physical Therapist PastSince Dec 31, 1996 Accepting new patients

Organizations & group practices 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598892440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WINTHROP RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371632",
            "telephone_number": "203-453-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 BOSTON POST ROAD",
            "address_2": "SUITE 204",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374360",
            "telephone_number": "203-453-4321",
            "fax_number": "203-453-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLAY",
        "first_name": "JAMIE",
        "middle_name": "KOSCH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.