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

Dr. Miko Emmanuel Peralta Palad, DPT

Individual provider Physical Therapist · NPI 1821728817

Dr. Miko Emmanuel Peralta Palad, DPT is a Physical Therapist in Private Practice in Mount Vernon, Illinois. Qualified in 2019, 7 years ago. Offers telehealth. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2022
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

1021 Southgate Dr Apt 7H
Mount Vernon, IL 62864-7203
Phone: (618) 315-8730
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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 070.022577 (IL)

Record details

NPI number1821728817
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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