Kelsey Mikluscak, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39588 Issued in FL

Practice address

1707 NW Saint Lucie West Blvd Ste 188
Port Saint Lucie, FL 34986-2521

Phone

(772) 878-3322

NPI assigned

Dec 29, 2022

Last updated

Dec 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cora Health Services Inc

  dba CORA Physical Therapy - St. Lucie West

  • Rehabilitation Clinic/Center
  • Port St Lucie, FL
  • NPI 1265461818
  NPD
• Cora Health Services, Inc

  dba CORA Physical Therapy-Stoneybrook

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1861105371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 RINGWOOD CIR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084959",
            "telephone_number": "407-242-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 NW SAINT LUCIE WEST BLVD STE 188",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862521",
            "telephone_number": "772-878-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLUSCAK",
        "first_name": "KELSEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael a Garvin DPM PA
• Christie Leeann Michaud, DMD
• Isnara Michel
• Midly D Michel, BSN, RN
• Ernest Earl Middleton, PH.D., LPC
• Suzanne M Milano, LCSW
• Dan Asher Miller, ARNP
• Mind Joy Psychiatry LLC
• Mindful Eye Healthcare
• Suzanne E Mininger, CRNA

• Physical Therapist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.