Active NPI
Millie A Waldman, P.T.
- Physical Therapist
- New York, NY
National Provider Identifier
1376707737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07145-1
- Practice address
- 171 W 79TH St
Apt # 62
New York, NY 10024-6449 - Phone
- (212) 799-1435
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 07145-1 | NY | Primary |
Addresses
Primary practice location
171 W 79TH St
Apt # 62
New York, NY 10024-6449
Mailing address
171 W 79TH St
Apt # 62
New York, NY 10024-6449
Phone (212) 799-1435
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 |
|---|---|---|---|
| 07145-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1376707737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 W 79TH ST",
"address_2": "APT # 62",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246449",
"telephone_number": "212-799-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 W 79TH ST",
"address_2": "APT # 62",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246449",
"telephone_number": "212-799-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "MILLIE",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "07145-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.