Justin Alexander Mickle

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

670 Placerville Dr Ste 1D
Placerville, CA 95667-4200

Phone

(530) 344-4846

NPI assigned

Jul 9, 2026

Sex

Male

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

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1891613469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR STE 1D",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PLACERVILLE DR STE 1D",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674200",
            "telephone_number": "530-344-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLE",
        "first_name": "JUSTIN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Merrill
• Mersea,LLC
• Tiffany Jean-Jan Meyer, CASI
• Alisa A Miatselitsa, PHARMD
• Ruth Michelson, MFT
• Leah Renee Mikla, D.P.T.
• Kellee Miles-Maranz
• Kristi Dawn Miller-Mayhew
• Ana Rhea D Miller, RN
• Bruce Dean Miller, MD

• Rehabilitation Practitioner in Placerville, CA
• Providers in Placerville, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.