Individual provider Active NPI

Maria Milonas, PT, DPT

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1093399735
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10882 Issued in LA
Practice address
331 W Harrison Ave
New Orleans, LA 70124-1343
Phone
(504) 684-5581
Fax
(504) 684-5582
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10882 LA Primary

Addresses

Primary practice location

331 W Harrison Ave
New Orleans, LA 70124-1343

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7211

Other practice location 1

17135 Ronald Rd
Prairieville, LA 70769-4168
Phone (255) 744-4878

Other practice location 2

2733 W Outfitters Dr
Gonzales, LA 70737-5155
Phone (225) 744-4878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bourgeoispt.melissa@eatel.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629000426 LA Practitioner - Physical Therapist in Private Practice 6901207901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Park Physical Therapy LLCGroup PAC ID 2264676741, 13 clinicians

Practice addresses (Care Compare)

5559 Canal Blvd
New Orleans, LA 70124-2745
Phone (504) 309-5811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10882LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
City Park Physical Therapy, LLC Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

5559 Canal Blvd
New Orleans, LA 70124
Phone (504) 235-6759

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1093399735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W HARRISON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241343",
            "telephone_number": "504-684-5581",
            "fax_number": "504-684-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17135 Ronald Rd",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707694168",
            "country_code": "US",
            "telephone_number": "255-744-4878",
            "fax_number": "225-744-4879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2733 W Outfitters Dr",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707375155",
            "country_code": "US",
            "telephone_number": "225-744-4878",
            "fax_number": "225-744-4879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILONAS",
        "first_name": "MARIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bourgeoispt.melissa@eatel.net",
            "affiliation": "N",
            "endpointDescription": "bourgeoispt.melissa@eatel.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17135 Ronald Rd",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707694168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.