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

Mikee Medina

Individual provider Physical Therapist · NPI 1164396438

Mikee Medina is a Physical Therapist in Private Practice in Port Jefferson Station, New York. Qualified in 2020, 6 years ago. Practices with Little Steps 1 Inc, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

530 Canal Rd
Port Jefferson Station, NY 11776-3068
Phone: (571) 337-8686
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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 053053 (NY)

Record details

NPI number1164396438
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address530 Canal Rd, Port Jefferson Station, NY 11776-3068

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Little Steps 1 Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson Station