Taylor Miksell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31687 Issued in FL

Practice address

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

Phone

(904) 503-0037

Fax

(904) 539-5620

NPI assigned

Aug 9, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miksell Physical Therapy and WellnessGroup PAC ID 6507215746, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Miksell Physical Therapy & Wellness

  • Orthopedic Physical Therapist
  • Jacksonville, FL
  • NPI 1831961085

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• John Goetze Physical Therapy, Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1942294640
  Medicare reassignment

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1922552843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MARSH LANDING PKWY",
            "address_2": "112",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502493",
            "telephone_number": "904-280-2001"
        },
        {
            "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": "904-503-0037",
            "fax_number": "904-539-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKSELL",
        "first_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Mikell, LMHC
• Tamra Coffee Mikell
• Inas Fouad Soliman Mikhail, MD
• Rose Ramsis Mikhail
• Miksell Physical Therapy & Wellness
• Christopher James Mikulas
• Natalie Mikulas, DNP
• Timothy Edward Mikulas, APRN
• Mariano B Mikulic, MD
• Sara Milan, PT, DPT, OCS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.