Individual provider Active NPI

Eliyahu Ezriel Milstein, DPT

  • Physical Therapist
  • Waterbury, CT
National Provider Identifier
1174067177
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011229 Issued in CT
Practice address
50 Randolph Ave
Waterbury, CT 06710-1620
Phone
(917) 435-2977
NPI assigned
Dec 9, 2016
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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 011229 CT Primary

Addresses

Primary practice location

50 Randolph Ave
Waterbury, CT 06710-1620

Mailing address

50 Randolph Ave
Waterbury, CT 06710-1620
Phone (917) 435-2977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227000544 CT Practitioner - Physical Therapist in Private Practice 3274817838 Reassigns benefits to 1 organization
Practice locations: Waterbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Align Motion LLCGroup PAC ID 0143554592, 7 clinicians

Practice addresses (Care Compare)

491 N Main St
Naugatuck, CT 06770-3032
Phone (203) 518-6065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011229CTMDPhysical Therapist
11229CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Align Motion LLC Physical Therapist CurrentSince May 2, 2019 Accepting new patients
Pathway Health LLC PastSince May 12, 2024 Accepting new patients

Locations

491 N Main St
Naugatuck, CT 06770
Phone (203) 518-6065

92 Brookside Rd
Ste 112
Waterbury, CT 06708

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1174067177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 RANDOLPH AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101620",
            "telephone_number": "917-435-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 RANDOLPH AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101620",
            "telephone_number": "917-435-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILSTEIN",
        "first_name": "ELIYAHU",
        "middle_name": "EZRIEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "011229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.