Individual provider Active NPI

William Ryan Milhizer, DPT

  • Physical Therapist
  • Latham, NY
National Provider Identifier
1124277207
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P64080 Issued in NY
Practice address
8 Century Hill Dr
Suite 201
Latham, NY 12110-2193
Phone
(518) 690-4406
Fax
(518) 220-9220
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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 P64080 NY Primary

Addresses

Primary practice location

8 Century Hill Dr
Suite 201
Latham, NY 12110-2193

Mailing address

8 Century Hill Dr
Suite 201
Latham, NY 12110-2193
Phone (518) 690-4406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816000872 MA Practitioner - Physical Therapist in Private Practice 3274672795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Orthopaedic Associates IncGroup PAC ID 2567498363, 26 clinicians

Practice addresses (Care Compare)

24 Park St
Pittsfield, MA 01201-4037
Phone (413) 629-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P64080NYMDPhysical Therapist
030663NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Orthopaedic Associates, Inc. Physical Therapist CurrentSince Aug 20, 2018 Accepting new patients
Berkshire Orthopaedic Associates, Inc. CurrentSince Aug 20, 2018 Accepting new patients
Empire Fitness & Physical Therapy Physical Therapist PastSince Aug 1, 2007 Accepting new patients

Locations

24 Park St
Pittsfield, MA 01201
Phone (413) 499-6600

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1124277207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CENTURY HILL DR",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102193",
            "telephone_number": "518-690-4406",
            "fax_number": "518-220-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CENTURY HILL DR",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102193",
            "telephone_number": "518-690-4406",
            "fax_number": "518-220-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILHIZER",
        "first_name": "WILLIAM",
        "middle_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P64080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.