Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN MICKULIK, DPT
ActiveDR. JONATHAN MICKULIK, DPT is a Physical Therapy Assistant healthcare provider located in FAIRFIELD, New Jersey. NPI 1821340399 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FAIRFIELD, NJ
Registration Details
- NPI Number
- 1821340399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2012 (13.826640924364 yrs)
- Last Updated
- May 18, 2021
- License
-
40QA01463100 (NJ)
Practice Information
- Address
-
461 US HIGHWAY 46FAIRFIELD, NJ, 070041954Browse NJ providers · Browse ZIP 07004
- Phone
- 5706065399
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FAIRFIELD, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN N KOPACK | MSPT | 1003967381 |
| MR. JUSTIN S. SOLOTOFF | MSPT | 1265583546 |
| MRS. RACHEL SECEMSKI | DPT | 1023221090 |
| DR. ERIN LYNN BARRY | DPT | 1487969747 |
| JEFFREY MICHAEL KOPACK | PT, DPT | 1659772523 |
| SARA WYNNE | DPT | 1083090476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.