NPIMap

Organization Active NPI

Milestones Physical Therapy, Inc.

  • Physical Therapist
  • Hurricane, WV
National Provider Identifier
1003950163
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001337 Issued in WV
Legal business name
MILESTONES PHYSICAL THERAPY, INC.
Practice address
179 Station Place Way
Hurricane, WV 25526-8747
Phone
(304) 760-6300
Fax
(304) 201-5123
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Wendy Altizer, PT
Title
President
Phone
(304) 562-1674

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT001337 WV Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1239 WV
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP-0535 WV

Addresses

Primary practice location

179 Station Place Way
Hurricane, WV 25526-8747

Mailing address

PO Box 450
Scott Depot, WV 25560-0450
Phone (304) 760-6300

Other identifiers 2

IdentifierTypeStateIssuer
001934713OtherWVBLUE CROSS BLUE SHIELD
3810008163MedicaidWV

Other names 1

  • Milestones Doing business as

National Provider Directory

National Provider Directory

Locations

3246 US Route 60
Ste 11A
Huntington, WV 25705

179 Station Place Way
Hurricane, WV 25526
Phone (304) 760-6300

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1003950163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255600450",
            "telephone_number": "304-760-6300",
            "fax_number": "304-201-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 STATION PLACE WAY",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268747",
            "telephone_number": "304-760-6300",
            "fax_number": "304-201-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "ALTIZER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-562-1674",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT001337",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1239",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001934713",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008163",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestones",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.