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

Mickayla Staal

Individual provider Athletic Trainer · NPI 1952856445

Mickayla Staal is a Physical Therapist in Private Practice in Tampa, Florida. Qualified in 2022, 4 years ago. Practices with Advanced Rehabilitation, Inc, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
4
Licensed in
FL, MI
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

4539 S Dale Mabry Hwy Ste 110
Tampa, FL 33611-1404
Phone: (616) 647-7768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3946 Glenview Ct, Hudsonville, MI 49426-8400 — (616) 647-7768

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT39736 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence 2601002106 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1952856445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2016
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address4018 Cortez Dr Apt C, Tampa, FL 33614-1536

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advanced Rehabilitation, Inc. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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