Milford Canales Alviar, PT
Individual provider Active NPI Physical Therapist · Niles, IL
NPI 1497185029 · NPPES record last updated Nov 18, 2013
Key facts
- NPI
- 1497185029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070019569 (IL)
- Practice address
- 8545 N Milwaukee Ave
Apt GW
Niles, IL 60714-1974 - Phone
- (561) 573-1107
- NPI assigned
- Nov 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070019569 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070019569 | IL | Yes |
Addresses
Primary practice location
8545 N Milwaukee Ave
Apt GW
Niles, IL 60714-1974
Mailing address
8545 N Milwaukee Ave
Apt GW
Niles, IL 60714-1974
Phone (561) 573-1107
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.