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

Mrs. Mitzie Marion Colet Mickelson, OTR/L, CPAM

Individual provider Occupational Therapist · NPI 1801408802

Mrs. Mitzie Marion Colet Mickelson, OTR/L, CPAM is an Occupational Therapist in Private Practice in Rome, Georgia. Qualified in 2023, 3 years ago. Practices with The Weston Group Inc, a 223-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2020
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

511 W 10th St NE
Rome, GA 30165-2652
Phone: (706) 235-0807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT004641 (GA)

Record details

NPI number1801408802
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L , CPAM
Sole proprietorYes
NPI enumeratedAugust 20, 2020
Last updated in NPPESAugust 20, 2020
Certification dateAugust 20, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Weston Group Inc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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