Individual provider Active NPI

Tonya Sue Milejczak, MSPT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1306921390
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22218 Issued in NC
Practice address
1717 Shipyard Blvd Ste 320
Wilmington, NC 28403-8019
Phone
(910) 791-0396
Fax
(910) 791-0818
NPI assigned
Oct 26, 2006
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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 P22218 NC Primary

Addresses

Primary practice location

1717 Shipyard Blvd Ste 320
Wilmington, NC 28403-8019

Mailing address

764 Jenoa Loop
Castle Hayne, NC 28429-4607
Phone (320) 224-5078

Other identifiers 3

IdentifierTypeStateIssuer
065M8TOOtherMNBCBS
359582000MedicaidMN
64-03277OtherMNMEDICA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703002406 NC Practitioner - Physical Therapist in Private Practice 8426173907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Physical Therapy, LLC Physical Therapist CurrentSince May 14, 2025 Accepting new patients
Carolina Sports Medicine &Orthopaedic Specialists PA PastSince May 14, 2025 Accepting new patients

Locations

1717 Shipyard Blvd
Ste 320
Wilmington, NC 28403
Phone (910) 791-0396

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1306921390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 JENOA LOOP",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284294607",
            "telephone_number": "320-224-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 320",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019",
            "telephone_number": "910-791-0396",
            "fax_number": "910-791-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILEJCZAK",
        "first_name": "TONYA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "065M8TO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359582000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "64-03277",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.