Individual provider Active NPI

Wendy Milanes, PTA

  • Physical Therapy Assistant
  • Miami Lakes, FL
National Provider Identifier
1497021687
Registry record updated Apr 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 19273 Issued in FL
Practice address
5729 NW 151St St
Suite #102
Miami Lakes, FL 33014-2481
Phone
(786) 390-0797
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 19273 FL Primary

Addresses

Primary practice location

5729 NW 151St St
Suite #102
Miami Lakes, FL 33014-2481

Mailing address

8945 NW 164TH St
Miami Lakes, FL 33018-6190
Phone (786) 390-0797

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

LicenseStateTypeSpecialty
PTA 19273FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333238400000",
    "number": "1497021687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 NW 164TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186190",
            "telephone_number": "786-390-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 NW 151ST ST",
            "address_2": "SUITE #102",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142481",
            "telephone_number": "786-390-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANES",
        "first_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2012-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 19273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2012; 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.