Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Mikkola

Individual provider Physical Therapy Assistant · NPI 1205707429

Benjamin Mikkola is a Physical Therapy Assistant in Leland, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

1003 Olde Waterford Way
Leland, NC 28451-4167
Phone: (910) 332-2341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (NC)

Record details

NPI number1205707429
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address112 Lumis Ct, Hampstead, NC 28443-7224

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