P Praxis·MD
● Active Type 1 · Individual

Robby John Mickelson, PTA

Physical Therapy Assistant·Dalton, GA· NPI 1386460954 · Enumerated 2024 · 1 years on NPI
Mickelson is 1 of 22 physical therapy assistant providers in Dalton and 1 of 1124 in Georgia.
NPI age
1 years
Enumerated 2024-11-28
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
1 years
↓ 8 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-11Enumerated in NPPES
2024 2026

Where they practice

Practice location
1212 Broadrick Dr
Dalton, GA 307202503
📞 7062708008fax 7062596426
Mailing address
1501 Summer Gate Way Apt 12
Dalton, GA 307205385
fax 7062596426

Specialties

  • Physical Therapy Assistant Primary
    (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...
    GA license #PTA002859 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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