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Provider Profile

Etienne J. Mickiewicz

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At a glance

About Etienne Mickiewicz

Listed in the NPI registry as a physical therapist, Etienne J. Mickiewicz practices in Newark, DE. NPI 1356290167 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2025

Specialty

Physical Therapist (Primary)

Credentials & Licensing

DE licenceAs reported to the NPI registry
No. J1-0015139As reported
NPINational Provider Identifier
1356290167Issued 2026

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Etienne J. Mickiewicz specialize in?

Etienne J. Mickiewicz is a physical therapist in Newark, DE. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Etienne J. Mickiewicz located?

Etienne J. Mickiewicz is listed at 540 S College Ave Ste 160, Newark, DE 19713. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Etienne J. Mickiewicz's phone number?

The number on file is (302) 831-3000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Etienne J. Mickiewicz?

Etienne J. Mickiewicz's National Provider Identifier is 1356290167. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Etienne J. Mickiewicz train?

Etienne J. Mickiewicz attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Etienne J. Mickiewicz have?

Etienne J. Mickiewicz has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Is Etienne J. Mickiewicz's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Etienne J. Mickiewicz. If this is you, claiming it is free.

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