Alyssa M Mikulec, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015838 Issued in MI

Practice address

1394 Walton Blvd
Rochester Hills, MI 48309-1754

Phone

(248) 218-5700

Fax

(248) 218-5703

NPI assigned

Feb 9, 2012

Last updated

Jul 16, 2019By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1740552553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091754",
            "telephone_number": "248-218-5700",
            "fax_number": "248-218-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULEC",
        "first_name": "ALYSSA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midentalone
• Faith Maria Miegoc, PA-C
• Mielke & Weeks, P. C.
• Markus Weeks Mielke, MSW
• Robert Mielke, PH.D.
• Janice Renee Miles, LMFT
• Lisa Ann Mileto, CRNA
• Meridith Lynn Miller, PH.D.
• Rachael Elizabeth Miller, PT, DPT
• Terrence Richard Miller, MA LPC CAADC

• Physical Therapist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.