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

Individual provider Occupational Therapist · NPI 1679281679

Mikayla Rolle, MSOT is an Occupational Therapist in Private Practice in Fayetteville, Georgia. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538
Phone: (770) 460-8609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2964 Collier Ln, Burlington, KY 41005-6516 — (859) 777-3276

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT26815 (FL)

Record details

NPI number1679281679
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT
Sole proprietorYes
NPI enumeratedNovember 8, 2022
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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