TITAN PHYSICAL THERAPY
NPI 1255919684
Physical Therapist - Orthopedic in Fairfield, NJ
About Titan Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TITAN PHYSICAL THERAPY (NPI 1255919684) is a healthcare organization registered as an orthopedic in Fairfield, New Jersey and active in the NPI registry since March 2021. The organization lists Jonathan Mickulik, Physical Therapist, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Titan Physical Therapy 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 Titan Physical Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Titan Physical Therapy Titan Pt's NPI number?
The NPI number for Titan Physical Therapy Titan Pt is 1255919684. It was assigned to this organization in the NPPES registry on March 29, 2021. The provider is doing business as Titan Physical Therapy.
Where is Titan Physical Therapy Titan Pt located?
Titan Physical Therapy Titan Pt is located at 461 Us Highway 46, Fairfield, NJ 07004. The listed phone number is (570) 606-5399.
What is Titan Physical Therapy Titan Pt's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Titan Physical Therapy Titan Pt enrolled in Medicare?
Yes. Titan Physical Therapy Titan Pt is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Titan Physical Therapy Titan Pt?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Titan Physical Therapy Titan Pt. 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 Titan Physical Therapy Titan Pt was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Titan Physical Therapy · NPI 1255919684
Orthopedic organization in Fairfield, New Jersey. Organization record, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1255919684 (Entity type: Organization)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Legal business name:** Titan Physical Therapy Titan Pt
- **Organization subpart:** No
- **Authorized official:** Jonathan Mickulik, PHYSICAL THERAPIST, OWNER
## Practice location
- **Address:** 461 US HIGHWAY 46, Fairfield, NJ 07004-1954
- **Phone:** (570) 606-5399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255919684) · Data from the CMS NPPES public registry.