Nicole Grace Milad, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22715 Issued in MA

Practice address

55 Fruit St
Boston, MA 02114-2621

Phone

(617) 726-2000

NPI assigned

Oct 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH, ME2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maine Strong Physical Therapy PAGroup PAC ID 8224313143, 30 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Maine Strong Physical Therapy PA

  • Physical Therapist
  • South Portland, ME
  • NPI 1841669660

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ability, LLC

  • Physical Therapist
  • Stratham, NH
  • NPI 1982299947

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1023584497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CRAIGIE ST APT 3R",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAD",
        "first_name": "NICOLE",
        "middle_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "22715",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Mikolajczyk, PA-C
• Gabrielle Mikorenda
• Rebecca A Miksad, MD
• Katherine Ann Mikshenas, LPN
• Timothy Donald Mikulski, MD
• Rua Milaeh, B.D.S
• Bradley Keith Milam, MD
• Laura C Milan Melo, B.A.
• David J Milan, MD
• Spencer Milanak, MD

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.