Individual provider Active NPI

Jeffrey Paul Millford, P.T.

  • Physical Therapist
  • West Grove, PA
National Provider Identifier
1467637009
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017880 Issued in PA
Practice address
900 W Baltimore Pike
Suite 103
West Grove, PA 19390-9313
Phone
(610) 869-2200
Fax
(610) 869-2311
NPI assigned
Jan 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017880 PA Primary
Physical Therapist 225100000X J1-0000721 DE

Addresses

Primary practice location

900 W Baltimore Pike
Suite 103
West Grove, PA 19390-9313

Mailing address

900 W Baltimore Pike
Suite 103
West Grove, PA 19390-9313
Phone (610) 869-2200

Other identifiers 2

IdentifierTypeStateIssuer
3435642000OtherIBC AMERIHEATLH
2019855OtherPABS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0000721DEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1467637009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W BALTIMORE PIKE",
            "address_2": "SUITE 103",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909313",
            "telephone_number": "610-869-2200",
            "fax_number": "610-869-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W BALTIMORE PIKE",
            "address_2": "SUITE 103",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909313",
            "telephone_number": "610-869-2200",
            "fax_number": "610-869-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLFORD",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017880",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0000721",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC AMERIHEATLH",
            "identifier": "3435642000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS",
            "identifier": "2019855",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.