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

Taylor Mitacek, DPT

Individual provider Physical Therapist · NPI 1497253223

Taylor Mitacek, DPT is a Physical Therapist in Private Practice in Grimes, Iowa. Qualified in 2017, 9 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
9
Licensed in
IA
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

241 SE Destination Dr
Grimes, IA 50111-1247
Phone: (515) 986-5190
Fax: (515) 986-5194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 S Northwest Hwy, Palatine, IL 60074-6231 — (224) 218-2984

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 123558 (IA)

Record details

NPI number1497253223
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 26, 2018
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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