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

Brett Mickinac

Individual provider Physical Therapy Assistant · NPI 1679132013

Brett Mickinac is a Physical Therapy Assistant in Wyndmoor, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

8601 Stenton Ave
Wyndmoor, PA 19038-8312
Phone: (724) 953-9145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1679132013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 10, 2019
Mailing address8601 Stenton Ave, Wyndmoor, PA 19038-8312

Other providers in Wyndmoor