Andrew Mikkelsen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03432 Issued in RI

Practice address

28 Watch Hill Rd
Westerly, RI 02891-3501

Phone

(401) 741-0286

NPI assigned

Jul 11, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Going Beyond PT LLC

  • Physical Therapy Clinic/Center
  • Westerly, RI
  • NPI 1508692351

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1669150389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WATCH HILL RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913501",
            "telephone_number": "401-741-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WATCH HILL RD",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913501",
            "telephone_number": "401-741-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKKELSEN",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Medina, LICSW
• Kayleigh E Melroy, DPT
• Jennifer Lee Menard, COTA
• Suzan J Menihan, CNM
• Arthur Migliazza, PT, DPT
• William Joseph Millette III, PHARMD
• Justin Mink, L.P.C.
• Mary Minn, MD
• Holly M Misto, OD
• MK Counseling and Wellness LLC (MK Counselling and Wellness)

• Physical Therapist in Westerly, RI
• Providers in Westerly, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.