Active NPI
Mikayla Rolle, MSOT
- Occupational Therapist
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT26815
- Practice address
- 1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538 - Phone
- (770) 460-8609
- NPI assigned
- Nov 8, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT26815 | FL | Primary |
Addresses
Primary practice location
1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (866) 518-0283
Other practice location 1
2964 Collier Ln
Burlington, KY 41005-6516
Phone (859) 777-3276
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | outlook.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 NE Multnomah St
Ste. 100 / FL. 11
Portland, OR 97232-2031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT26815 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Sapphire at Gresham Rehab, LLC | Current | Accepting new patients | |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Benchmark Physical Therapy Inc | Occupational Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1275 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 460-8609
1438 Highway 16 W
Ste C
Griffin, GA 30223
Phone (770) 233-0350
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
10315 NE Tanasbourne Dr
Hillsboro, OR 97124
Phone (503) 531-1700
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Organizations & group practices 7
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.
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
Occupational Therapist
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
Occupational Therapist
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Skilled Nursing Facility
- Gresham, OR
- NPI 1033740899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1679281679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214915",
"telephone_number": "866-518-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 HIGHWAY 54 W STE 200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144538",
"telephone_number": "770-460-8609"
}
],
"practiceLocations": [
{
"address_1": "2964 Collier Ln",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "KY",
"postal_code": "410056516",
"country_code": "US",
"telephone_number": "859-777-3276",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLLE",
"first_name": "MIKAYLA",
"credential": "MSOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT26815",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "outlook.com",
"affiliation": "N",
"address_1": "2964 Collier Ln",
"city": "Burlington",
"state": "KY",
"country_code": "US",
"postal_code": "410056516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.