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

Mr. Kenneth Micko, PT

Individual provider Physical Therapist · NPI 1114149382

Mr. Kenneth Micko, PT is a Physical Therapist in Private Practice in Middletown, New Jersey. Qualified in 2002, 24 years ago. Practices with Bridgeway Care at Home LLC, a 40-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
24
Licensed in
NJ
In the registry since
2007
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

620 State Route 35
Middletown, NJ 07748-4224
Phone: (732) 671-9560
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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 PT40QA01024400 (NJ)

Record details

NPI number1114149382
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address620 State Route 35, Middletown, NJ 07748-4224

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Bridgeway Care At Home Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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