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

Dr. Jonathan Mickulik, DPT

Individual provider Physical Therapist · NPI 1821340399

Dr. Jonathan Mickulik, DPT is a Physical Therapist in Private Practice in Fairfield, New Jersey. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
16
Licensed in
NJ
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

461 US Highway 46
Fairfield, NJ 07004-1954
Phone: (570) 606-5399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01463100 (NJ)

Record details

NPI number1821340399
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 9, 2012
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021
Mailing address461 Us Highway 46, Fairfield, NJ 07004-1954

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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