NPIMap

Organization Active NPI

Milestone Physical Therapy

  • Physical Therapy Clinic/Center
  • Rocklin, CA
National Provider Identifier
1386038123
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
30218 Issued in CA
Legal business name
MILESTONE PHYSICAL THERAPY
Practice address
5814 Lonetree Blvd
Suite 100
Rocklin, CA 95765-3785
Phone
(916) 206-3612
Fax
(916) 596-4062
NPI assigned
Mar 18, 2015
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mollie Elizabeth Tanjoco, M.P.T.NPI 1093803819
Title
Physical Therapist/ Owner
Phone
(916) 206-3612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 30218 CA Primary

Addresses

Primary practice location

5814 Lonetree Blvd
Suite 100
Rocklin, CA 95765-3785

Mailing address

5814 Lonetree Blvd
Suite 100
Rocklin, CA 95765-3785
Phone (916) 206-3612

National Provider Directory

National Provider Directory

Locations

5814 Lonetree Blvd
Ste 100
Rocklin, CA 95765
Phone (916) 206-3612

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1386038123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 LONETREE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653785",
            "telephone_number": "916-206-3612",
            "fax_number": "916-596-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 LONETREE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653785",
            "telephone_number": "916-206-3612",
            "fax_number": "916-596-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "TANJOCO",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "916-206-3612",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "30218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.