Mikee Medina
Physical Therapist · Port Jefferson Station, NY
Mikee Medina is a physical therapist with a practice address in Port Jefferson Station, New York, and NPI 1164396438, issued on Sep 30, 2025. Check the license (New York 053053, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mikee Medina
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 053053 NY
Self-reported in NPPES; status is on the state search - Practice location
- 530 Canal RD, Port Jefferson Station, NY 11776
- Phone
- (571) 337-8686
- Enumerated
- Sep 30, 2025
- Record last updated
- Sep 30, 2025
- Medicare enrollment
- Enrolled (PECOS I20260402000563); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 21,756 in New York → Look up another NPI →
Verify Mikee Medina in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 053053Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Little Steps 1 IncRego Park, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mikee Medina among 21,756 physical therapist records in New York
Mikee Medina is one of 21,756 physical therapist records with a practice address in New York. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 93% of them.
- NPI issued2025 · 93% of these records are older, 2% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated2020 · median 2016 among the 7,302 with a school on file
- Record last updated2025 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
22 physical therapist records list a practice address in Port Jefferson Station
They are 22 of the 951 NPPES records with a practice address in Port Jefferson Station, and 21,756 physical therapist records in New York.
All 21,756 in New York → Every provider in Port Jefferson Station → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Erika Carrell, PTPort Jefferson Station, NY 117761396913059
- Beth Cocci, DPTPort Jefferson Station, NY 117761164852398
- Shannon Deluca, P.T.Port Jefferson Station, NY 117761053630418
- Brian Dwyer, P.T.Port Jefferson Station, NY 117761518275502
- Katherine Graziano, OTR/L, PT, DPT, CLTPort Jefferson Station, NY 117761215318175
- Gretchen Haase, DPTPort Jefferson Station, NY 117761134221799
- Frank Kershis, PT, COMTPort Jefferson Station, NY 117761538276415
- Alyssa Klein, MPTPort Jefferson Station, NY 117761528285822
Common questions
What is Mikee Medina's NPI number?
Mikee Medina's National Provider Identifier (NPI) is 1164396438, issued on Sep 30, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Mikee Medina located?
The NPPES record lists a practice address at 530 Canal RD, Port Jefferson Station, NY, 11776. Phone: (571) 337-8686. Providers update this record themselves, so call before visiting.
How can I verify Mikee Medina's license?
NPPES lists New York license number 053053, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.