Miksell Physical Therapy & Wellness

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

MIKSELL PHYSICAL THERAPY & WELLNESS

Practice address

13241 Bartram Park Blvd Unit 609
Jacksonville, FL 32258-5214

Phone

(904) 662-0868

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Taylor Miksell, PT, DPTNPI 1922552843

Title

Owner/Practioner

Phone

(904) 662-0868

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor Miksell, DPT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1922552843

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Justin Merkel, DPT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1184487084
  Medicare reassignment Care Compare group NPD
• Loubens Phillip Polinice, DPT

  • Physical Therapist
  • Ormond Beach, FL
  • NPI 1982469136
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1831961085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10977 MANDARIN STATION DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322573901",
            "telephone_number": "904-662-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 609",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585214",
            "telephone_number": "904-662-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKSELL PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "MIKSELL",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "904-662-0868",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Mikell
• Lee Mikell, LMHC
• Tamra Coffee Mikell
• Inas Fouad Soliman Mikhail, MD
• Rose Ramsis Mikhail
• Taylor Miksell, DPT
• Christopher James Mikulas
• Natalie Mikulas, DNP
• Timothy Edward Mikulas, APRN
• Mariano B Mikulic, MD

• Orthopedic Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.