Active NPI
Mileen M Langley, PT
- Physical Therapist
- Meridian, ID
National Provider Identifier
1255814448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1053
- Practice address
- 3277 E Louise Dr Ste 410
Meridian, ID 83642-9360 - Phone
- (208) 385-3548
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- 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 | PT-1053 | ID | Primary |
Addresses
Primary practice location
3277 E Louise Dr Ste 410
Meridian, ID 83642-9360
Mailing address
3277 E Louise Dr Ste 410
Meridian, ID 83642-9360
Phone (208) 385-3548
Other practice location 1
600 N Robbins Rd
Boise, ID 83702-4565
Phone (208) 385-3510
Other practice location 2
100 Hospital Dr. #201
Ketchum, ID 83340
Phone (208) 385-3510
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 |
|---|---|---|---|
| PT-1053 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1255814448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3277 E LOUISE DR STE 410",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429360",
"telephone_number": "208-385-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3277 E LOUISE DR STE 410",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429360",
"telephone_number": "208-385-3548"
}
],
"practiceLocations": [
{
"address_1": "600 N Robbins Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837024565",
"country_code": "US",
"telephone_number": "208-385-3510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hospital Dr. #201",
"address_purpose": "LOCATION",
"city": "Ketchum",
"state": "ID",
"postal_code": "83340",
"country_code": "US",
"telephone_number": "208-385-3510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGLEY",
"first_name": "MILEEN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-1053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.