Derek Milone, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17661 Issued in MA

Practice address

390 Orleans Rd
North Chatham, MA 02650-1154

Phone

(508) 945-9611

Fax

(508) 945-9603

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverview Physical Therapy Limited Partnership

  • Physical Therapist
  • Portland, ME
  • NPI 1194396747
  Medicare reassignment NPD
• Riverview Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Westbrook, ME
  • NPI 1881784429

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003966672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "NORTH CHATHAM",
            "state": "MA",
            "postal_code": "026500453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ORLEANS RD",
            "city": "NORTH CHATHAM",
            "state": "MA",
            "postal_code": "026501154",
            "telephone_number": "508-945-9611",
            "fax_number": "508-945-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILONE",
        "first_name": "DEREK",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Janson, MSPT
• Chris D Jones, M.S., P.T CSCS
• Denise Kassarjian, BS OT
• Michael Thomas Kennally, DPT
• Charlotte Miller, MS SLP
• Colleen Pitts, CCC-SLP
• Kimberly Mara Robinson, OTR/L
• Santos MD Dr LLC
• Kevin Charles Smith, DDS
• Wendy Smith, BSPT

• Physical Therapist in North Chatham, MA
• Providers in North Chatham, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.