Cynthia Mick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0012997 Issued in CO

Practice address

10125 W Dartmouth PL
#104
Lakewood, CO 80227-6721

Phone

(906) 235-6127

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1942541313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 W DARTMOUTH PL",
            "address_2": "#104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802276721",
            "telephone_number": "906-235-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 W DARTMOUTH PL",
            "address_2": "#104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802276721",
            "telephone_number": "906-235-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICK",
        "first_name": "CYNTHIA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0012997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0012997",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina M Michaels, MS L.AC.
• Laura Michaels
• Katherine Michel-Valencia
• Kenisha Michel
• Michelle Kerska, Bcba, PC
• Cheyenne Michelle Mickelson, BCBA
• Middle Counseling and R C PLLC (The Middle Counseling and Reflective S/C, PLLC)
• Miranda Middleton, L.P.C.
• Marcia Lynn Mielke, PA-C
• Katrina Mierkey, CPNP

• Physical Therapy Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.