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

Individual provider Physical Therapy Assistant · NPI 1548825219

Mikhail Yatsishin, PTA is a Physical Therapy Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

13990 Bartram Park Blvd Unit 422
Jacksonville, FL 32258-5546
Phone: (315) 395-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 29230 (FL)

Record details

NPI number1548825219
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019

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