Individual provider Active NPI

Stephen G. Mikita, R.P.T.

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1790712644
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28298 Issued in CA
Practice address
10718 White Oak Ave
Suite 2
Granada Hills, CA 91344-4628
Phone
(818) 368-9484
Fax
(818) 368-8054
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

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 PT28298 CA Primary

Addresses

Primary practice location

10718 White Oak Ave
Suite 2
Granada Hills, CA 91344-4628

Mailing address

10718 White Oak Ave
Suite 2
Granada Hills, CA 91344-4628
Phone (818) 368-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050831000325 CA Practitioner - Physical Therapist in Private Practice 7517999428 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28298CAMDPhysical Therapist
PT28298CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care to You Health Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
SG Mikita RPT a Physical Therapy Corporation Physical Therapist CurrentSince Jul 26, 2005 Accepting new patients

Locations

10718 White Oak Ave
Ste 2
Granada Hills, CA 91344
Phone (818) 368-9484

10667 White Oak Ave
Granada Hills, CA 91344
Phone (818) 368-9484

2102 Business Center Dr
Irvine, CA 92612
Phone (562) 541-8950

2570 N 1st St
Fl 2
San Jose, CA 95131
Phone (408) 404-4900

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790712644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 WHITE OAK AVE",
            "address_2": "SUITE 2",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444628",
            "telephone_number": "818-368-9484",
            "fax_number": "818-368-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 WHITE OAK AVE",
            "address_2": "SUITE 2",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444628",
            "telephone_number": "818-368-9484",
            "fax_number": "818-368-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKITA",
        "first_name": "STEPHEN",
        "middle_name": "G.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.