Rebecca Mickelson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298420 Issued in CA

Practice address

140 Diamond Creek PL Ste 125
Roseville, CA 95747-6654

Phone

(916) 206-3612

NPI assigned

Feb 20, 2024

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

Other names 1

• Rebecca Auman Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milestone Physical Therapy IncGroup PAC ID 0547662553, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Milestone Physical Therapy Inc

  • Physical Therapist
  • Roseville, CA
  • NPI 1306422274
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1972368629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DIAMOND CREEK PL STE 125",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476654",
            "telephone_number": "916-206-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DIAMOND CREEK PL STE 125",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476654",
            "telephone_number": "916-206-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKELSON",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "AUMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luwam H Micael, PMHNP
• Michael J Huang MD Inc
• Jessica Ann Michaels
• Sherry Lynne Michaelson, PHARM.D.
• Gracie Michelitsch
• Courtney Mickles, LMFT
• Terryn Marie Middlebrooks, M.S.
• Midtown Primary Care Associates Medical Group, Inc.
• Thomas Cyrus Mielewczyk
• Austin Miguel, OTR/L

• Physical Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.