Individual provider Active NPI

Andrew William Milligan, P.T.

  • Physical Therapist
  • Sierra Vista, AZ
National Provider Identifier
1558409128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3291 Issued in AZ
Practice address
300 El Camino Real
Sierra Vista, AZ 85635-2812
Phone
(520) 417-3566
NPI assigned
Feb 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3291 AZ Primary

Addresses

Primary practice location

300 El Camino Real
Sierra Vista, AZ 85635-2812

Mailing address

2721 Plaza de Viola
Sierra Vista, AZ 85650-4255

Other identifiers 1

IdentifierTypeStateIssuer
3291OtherAZPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110002342 AZ Practitioner - Physical Therapist in Private Practice 5294045456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apexnetwork Sierra Vista PLLCGroup PAC ID 7012227275, 3 clinicians

Practice addresses (Care Compare)

2151 S Hwy 92
Suite 106
Sierra Vista, AZ 85635-5283
Phone (520) 335-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3291AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apexnetwork Sierra Vista, PLLC Physical Therapist CurrentSince Sep 3, 2015 Accepting new patients
Multicare Health System Physical Therapist PastSince Sep 3, 2015 Accepting new patients

Locations

569 W 4th St
Benson, AZ 85602
Phone (520) 586-3663

2151 S Highway 92
Ste 106
Sierra Vista, AZ 85635
Phone (520) 335-1615

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558409128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 PLAZA DE VIOLA",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856504255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EL CAMINO REAL",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352812",
            "telephone_number": "520-417-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "3291",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.