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MIKOTA CHIROPRACTIC CLINIC
NPI 1114133931
Chiropractor - Sports Physician in Gaffney, SC

Active since May 16, 2007
111 W RUTLEDGE AVE, GAFFNEY, SC 29340(864) 489-2444(864) 489-6948 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mikota Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKOTA CHIROPRACTIC CLINIC (NPI 1114133931) is a healthcare organization registered as a sports physician in Gaffney, South Carolina and active in the NPI registry since May 2007. The organization lists Bruce D Mikota, Owner, as its authorized official.

NPPES Registry Identity

NPI1114133931
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameBRUCE D. MIKOTA,D.C.,P.A.
Location Address111 W RUTLEDGE AVEGaffney, SC 29340-2232
Mailing AddressPo Box 1825Gaffney, SC 29342-1825 · (864) 489-2444 · Fax (864) 489-6948
Phone(864) 489-2444
Fax(864) 489-6948
Organization SubpartNo
Authorized OfficialBruce D MikotaOwner · (864) 489-2444
Enumeration DateMay 16, 2007
Last NPPES UpdateJanuary 25, 2012
✔ NPI 1114133931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
111 W RUTLEDGE AVE, Gaffney, SC 29340
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Other Names 1

Other NameMikota Chiropractic Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikota Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mikota Chiropractic Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Mikota, DC CCSP
Chiropractic
NPI 1831126606
111 WEST RUTLEDGE AVENUE
Gaffney, SC 29340
(864) 489-2444
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bruce D. Mikota,d.C.,p.A.'s NPI number?

The NPI number for Bruce D. Mikota,d.C.,p.A. is 1114133931. It was assigned to this organization in the NPPES registry on May 16, 2007. The provider is also known as Mikota Chiropractic Clinic.

Where is Bruce D. Mikota,d.C.,p.A. located?

Bruce D. Mikota,d.C.,p.A. is located at 111 W Rutledge Ave, Gaffney, SC 29340. The listed phone number is (864) 489-2444.

What is Bruce D. Mikota,d.C.,p.A.'s specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Bruce D. Mikota,d.C.,p.A. enrolled in Medicare?

Yes. Bruce D. Mikota,d.C.,p.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bruce D. Mikota,d.C.,p.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bruce D. Mikota,d.C.,p.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bruce D. Mikota,d.C.,p.A. was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.