Individual provider Active NPI

Marina Milioukova, PTA

  • Physical Therapy Assistant
  • East Windsor, NJ
National Provider Identifier
1619249745
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00277000 Issued in NJ
Practice address
300A Princeton-Highstown Road
Suite 201
East Windsor, NJ 08520-1411
Phone
(609) 426-4442
Fax
(609) 443-0910
NPI assigned
Feb 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 40QB00277000 NJ Primary

Addresses

Primary practice location

300A Princeton-Highstown Road
Suite 201
East Windsor, NJ 08520-1411

Mailing address

300A Princeton-Highstown Road
Suite 201
East Windsor, NJ 08520-1411
Phone (609) 426-4442

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
40QB00277000NJMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1619249745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300A PRINCETON-HIGHSTOWN ROAD",
            "address_2": "SUITE 201",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201411",
            "telephone_number": "609-426-4442",
            "fax_number": "609-443-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A PRINCETON-HIGHSTOWN ROAD",
            "address_2": "SUITE 201",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201411",
            "telephone_number": "609-426-4442",
            "fax_number": "609-443-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILIOUKOVA",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00277000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.