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Robby John Mickelson, PTA

NPI 1386460954ActiveIndividual· Physical Therapy Assistant· Dalton, GA

Physical Therapy Assistant (PTA) in Dalton, Georgia, licensed in GA, with an NPI issued in November 2024.

Overview

NPI1386460954
StatusActive
Entity typeIndividual
CredentialPTA
Sole proprietorYes
NPI issuedNov 28, 2024
Last updated in NPPESNov 28, 2024
Certified by providerNov 28, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000XPTA002859GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapist assistants in Dalton

All 23 physical therapist assistants in Dalton · All physical therapist assistants in Georgia