MEDICARE: MIKA GERFEN PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	54615	CA

General Provider Information

NPI Number	:	1376476481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKA GERFEN PTA

Provider Business Mailing Address
First Line	:	946 CHERRY ST APT 3
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7225
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	946 CHERRY ST APT 3
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7225
Country	:	US
Telephone Number	:	530-338-5571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ MIKA GERFEN PTA” Practice Location

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