NPI: 1174912984

KAILA MIKESCH, DPT

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• Entity Type: Individual (Gender: F)
• Last Observed in the System¹ on:
• First Entered in the System¹ on: 2015-01-16
• Medicare Revalidation Due Date²: Not Available
• Certified the records on: Not Certified
• Specialty: Physical Therapist In Private Practice
• Medical School: OTHER, 2014
• Telephone Number: 6362064146
• NPPES Profile Page: https://npiregistry.cms.hhs.gov/provider-view/1174912984
• CMS Profile Page: https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool/provider/1174912984

Other IDs

• PECOS ID: 5890019590

Other Names

• 2018-01-07 ~ Present ³ , Former Name, KAILA N BEQUETTE

Affiliations

The affiliation information is derived from the Medicare revalidation list².

• Axes Physical Therapy Llc (1003280421)
• Axes Physical Therapy I, Llc (1679032700)

Addresses

• Primary & Current, 3950 VOGEL RD, ARNOLD, MO 630103790

Taxonomies

• 2018-01-07 ~ Present ³ , Physical Therapist (225100000X), Primary

Licenses

• 2018-01-07 ~ Present ³ , 2014027837, MO

Orgs. with the Same Mailing Address (1)

The list below shows the Organization Entities (Entity Type Code: 2) with the same mailing addresses. They may be other branch offices or co-located businesses.

• AXES PHYSICAL THERAPY, LLC (1235610916)

Notes

1. https://nppes.cms.hhs.gov/#/
2. https://data.cms.gov/tools/medicare-revalidation-list
3. Our records go back to 2018-01-07, and any records preceding this date are not captured. Please regard 2018-01-07 as the earliest date we could verify the records back then, not as the actual date for the time range.
4. https://openpaymentsdata.cms.gov/
5. The information is based on the UnitedHealthcare Transparency in Coverage site.