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

Emily Grace Mikkola

Individual provider Physical Therapist · NPI 1750267761

Emily Grace Mikkola is a Physical Therapist in Private Practice in Knoxville, Tennessee. Qualified in 2025, 1 year ago. Practices with East Tennessee Spine and Sport Inc, a 42-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
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Practice location Address checks out

4905 N Broadway St
Knoxville, TN 37918-2315
Phone: (865) 689-8299
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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 16478 (TN)

Record details

NPI number1750267761
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice East Tennessee Spine And Sport Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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