Provider Demographics
NPI:1881452084
Name:CURTIS, MICAYLA (PT, DPT)
Entity type:Individual
Prefix:
First Name:MICAYLA
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MICAYLA
Other - Middle Name:
Other - Last Name:COMPEAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2122 YORK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1925
Mailing Address - Country:US
Mailing Address - Phone:570-550-0168
Mailing Address - Fax:
Practice Address - Street 1:237 JOHNS ST STE 1
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1555
Practice Address - Country:US
Practice Address - Phone:814-539-2050
Practice Address - Fax:814-536-3748
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT031461225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist