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

Gina Louise Micchia, DO

Individual provider Specialist · NPI 1548234347

Gina Louise Micchia, DO is a Family Practice in Wake Forest, North Carolina. Graduated from Philadelphia College of Osteopathic Medicine in 1994, 32 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Pennsylvania.

Years since qualifying
32
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NC, PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

10500 Ligon Mill Rd Ste 113
Wake Forest, NC 27587-6090
Phone: (919) 570-5705
Fax: (919) 570-5710
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2005-01657 (NC)
Specialist Taxonomy 174400000X · Licence OS008792L (PA)

Record details

NPI number1548234347
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 16, 2006
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1994 (32 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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