PAMELA MIKKELSEN DPT
NPI 1104220722
Physical Therapist - Orthopedic in Los Angeles, CA
About Pamela Mikkelsen Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA MIKKELSEN DPT (NPI 1104220722) is an individual orthopedic provider in Los Angeles, California, licensed in California (41726) and active in the NPI registry since October 2014.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pamela Mikkelsen Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pamela Mikkelsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90089
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pamela Mikkelsen's NPI number?
The NPI number for Pamela Mikkelsen is 1104220722. It was assigned to this individual provider in the NPPES registry on October 9, 2014.
Where is Pamela Mikkelsen located?
Pamela Mikkelsen practices at 1031 W 34th St Ste 450, Los Angeles, CA 90089. The listed phone number is (213) 740-0215.
What is Pamela Mikkelsen's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Pamela Mikkelsen enrolled in Medicare?
Yes. Pamela Mikkelsen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pamela Mikkelsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Mikkelsen reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Mikkelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pamela Mikkelsen was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pamela Mikkelsen, DPT · NPI 1104220722
Orthopedic provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 9, 2014.
## Identity
- **NPI:** 1104220722 (Entity type: Individual)
- **Enumerated:** October 9, 2014
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 41726 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1031 W 34TH ST STE 450, Los Angeles, CA 90089-3603
- **Phone:** (213) 740-0215
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104220722) · Data from the CMS NPPES public registry.