Individual provider Active NPI

Myka Kristine Publico

  • Physical Therapist
  • Huntersville, NC
National Provider Identifier
1831838820
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21241 Issued in NC
Practice address
16409 Northcross Dr
Huntersville, NC 28078-5065
Phone
(980) 441-8200
Fax
(980) 441-8202
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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 P21241 NC Primary

Addresses

Primary practice location

16409 Northcross Dr
Huntersville, NC 28078-5065

Mailing address

PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088

Other names 1

  • Myka Perusek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220715001628 NC Practitioner - Physical Therapist in Private Practice 0244611614 Reassigns benefits to 1 organization
I20230620002683 SC Practitioner - Physical Therapist in Private Practice 0244611614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince May 7, 2023 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince May 16, 2022 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince May 7, 2023 Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC Physical Therapist PastSince Jul 21, 2024 Accepting new patients
Comprehab LLC Physical Therapist PastSince Jul 21, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

16615 W Catawba Ave
Ste D
Huntersville, NC 28078
Phone (704) 987-4322

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

1135 Stonecrest Blvd
Ste 103
Tega Cay, SC 29708
Phone (803) 547-9940

Organizations & group practices 6

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1831838820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-869-2088",
            "fax_number": "980-288-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16409 NORTHCROSS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785065",
            "telephone_number": "980-441-8200",
            "fax_number": "980-441-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUBLICO",
        "first_name": "MYKA",
        "middle_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYKA",
            "last_name": "PERUSEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.