Julie Milner, PTA
Individual provider Active NPI Physical Therapy Assistant · Illiopolis, IL
NPI 1033360359 · NPPES record last updated Oct 6, 2008
Key facts
- NPI
- 1033360359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160000892 (IL)
- Practice address
- 6875 Lake Fork Rd
Illiopolis, IL 62539-3546 - Phone
- (217) 486-6097
- NPI assigned
- Oct 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160000892 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160000892 | IL | Yes |
Addresses
Primary practice location
6875 Lake Fork Rd
Illiopolis, IL 62539-3546
Mailing address
6875 Lake Fork Rd
Illiopolis, IL 62539-3546
Phone (217) 486-6097
Other providers in Illiopolis, IL
All providers in Illiopolis, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.