Active NPI
David E Mileski, PT
- Physical Therapist
- Clyde, OH
National Provider Identifier
1245339852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002712
- Practice address
- 119 Birdseye St
Clyde, OH 43410 - Phone
- (419) 547-2176
- Fax
- (419) 547-2220
- NPI assigned
- Sep 21, 2006
- Last updated
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002712 | OH | Primary |
Addresses
Primary practice location
119 Birdseye St
Clyde, OH 43410
Mailing address
1275 E County Road 16
Tiffin, OH 44883-9338
Phone (419) 447-8553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002712 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1245339852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 E COUNTY ROAD 16",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448839338",
"telephone_number": "419-447-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BIRDSEYE ST",
"city": "CLYDE",
"state": "OH",
"postal_code": "43410",
"telephone_number": "419-547-2176",
"fax_number": "419-547-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILESKI",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "002712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clyde, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.