Individual provider · Type 1 NPI

Benjamin Mikkola

Physical Therapy Assistant · Leland, NC

NPI number 1205707429 Active

Practice location

1003 Olde Waterford Way
Leland, NC 28451-4167

Mailing address

112 Lumis Ct
Hampstead, NC 28443-7224

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1205707429

Benjamin Mikkola's National Provider Identifier is 1205707429, issued on Sep 12, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Leland, NC. The record was last updated on Sep 12, 2025.