Active NPI
Mikka Gonzalez, PT
- Physical Therapist
- Jonesboro, AR
National Provider Identifier
1982907028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 3049
- Practice address
- 151 Southwest Dr
Jonesboro, AR 72401-5828 - Phone
- (870) 932-2099
- NPI assigned
- Dec 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 3049 | AR | Primary |
Addresses
Primary practice location
151 Southwest Dr
Jonesboro, AR 72401-5828
Mailing address
151 Southwest Dr
Jonesboro, AR 72401-5828
Other names 1
- Mikka Robinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 3049 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1982907028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SOUTHWEST DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 SOUTHWEST DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015828",
"telephone_number": "870-932-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MIKKA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-12",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 3049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKKA",
"last_name": "ROBINSON",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.