Romar Gianan Milos
Individual provider Active NPI Physical Therapist · Dixon, MO
NPI 1124152855 · NPPES record last updated Feb 20, 2009
Key facts
- NPI
- 1124152855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2006001588 (MO)
- Practice address
- 106 West Fourth Street
Dixon, MO 65459-0166 - Phone
- (573) 759-7149
- Fax
- (573) 759-2952
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dixon Reorganized Dist R1 | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2006001588 | MO | Yes |
Addresses
Primary practice location
106 West Fourth Street
Dixon, MO 65459-0166
Mailing address
106 West Fourth Street
Dixon, MO 65459-6074
Phone (573) 759-7149
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 487003907 | Medicaid | MO |
Other providers in Dixon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2009. 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.