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

Mikaela Virgin, PT

Individual provider Physical Therapist · NPI 1871210500

Mikaela Virgin, PT is a Physical Therapist in Private Practice in Kuna, Idaho. Qualified in 2022, 4 years ago. Practices with Altitude Physical Therapy Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

672 E Wythe Creek Ct
Kuna, ID 83634-5216
Phone: (208) 922-9828
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8477 (ID)

Record details

NPI number1871210500
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022
Mailing address1185 E Trophy St, Kuna, ID 83634-3541

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 Altitude Physical Therapy Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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