MICHAEL GERARD MIKKELSON (PTA) – Physical Therapy Assistant, NPI 1699867945

MICHAEL GERARD MIKKELSON (PTA) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. The NPI Number for MICHAEL GERARD MIKKELSON (PTA) is 1699867945

Main info

Male
Name
MICHAEL GERARD MIKKELSON (PTA)
NPI
1699867945
Phone
Not provided
Address
2450 RIVERSIDE AVE
Enumeration Date
28 September 2006
Last Update Date
29 May 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MICHAEL GERARD MIKKELSON (PTA)

  • Bambini's Coffee, 2450, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States

    MINNEAPOLIS, MN 554541450

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55454)

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Frequently asked questions

Can I verify MICHAEL GERARD MIKKELSON (PTA) with an NPI only?
You can start verification with NPI 1699867945 for MICHAEL GERARD MIKKELSON (PTA), then check state licensing separately.
Does the file indicate MICHAEL GERARD MIKKELSON (PTA) is practicing under active NPI?
Directory data currently reports MICHAEL GERARD MIKKELSON (PTA) as active.
What is MICHAEL GERARD MIKKELSON (PTA)'s primary classification?
Physical Therapy Assistant is the headline specialty for MICHAEL GERARD MIKKELSON (PTA) here. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL GERARD MIKKELSON (PTA) on a map?
Expect Minneapolis, Minnesota as a primary anchor for MICHAEL GERARD MIKKELSON (PTA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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