NPIMap

Organization Active NPI

Children's Milestone Inc

Doing business as Dupont Physical Therapy

  • Physical Therapist
  • Fort Wayne, IN
National Provider Identifier
1568513166
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHILDREN'S MILESTONE INC
Doing business as
Dupont Physical Therapy
Practice address
2872 E Dupont Rd
Fort Wayne, IN 46825-1669
Phone
(260) 497-0838
Fax
(260) 497-9088
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Abigail Buenconsejo, OTR
Title
President
Phone
(260) 497-0838

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

2872 E Dupont Rd
Fort Wayne, IN 46825-1669

Mailing address

2872 E Dupont Rd
Fort Wayne, IN 46825-1669
Phone (260) 497-0838

Other names 1

  • Dupont Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2872 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 497-0838

10327 Dawsons Creek Blvd
Bldg 9C
Fort Wayne, IN 46825
Phone (260) 497-0838

7517 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-1891

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1568513166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251669",
            "telephone_number": "260-497-0838",
            "fax_number": "260-497-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251669",
            "telephone_number": "260-497-0838",
            "fax_number": "260-497-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MILESTONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "BUENCONSEJO",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-497-0838",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dupont Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.