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

Individual provider Pediatric Physical Therapist · NPI 1245899194

Mikaela Maddock, PT, DPT is a Pediatric Physical Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9111 Monroe Rd Ste 100
Charlotte, NC 28270-2460
Phone: (704) 847-3911
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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 P18708 (NC)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence P18708 (NC)

Record details

NPI number1245899194
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

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