Individual provider Active NPI

Ellen Degen Milton, PT

  • Physical Therapist
  • Edwardsville, IL
National Provider Identifier
1649509324
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014954 Issued in IL
Practice address
219 E Vandalia St
Edwardsville, IL 62025-1766
Phone
(618) 659-9666
Fax
(618) 659-9668
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 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 Therapist 225100000X 070014954 IL Primary

Addresses

Primary practice location

219 E Vandalia St
Edwardsville, IL 62025-1766

Mailing address

219 E Vandalia St
Edwardsville, IL 62025-1766
Phone (618) 624-9300

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)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ellen.milton.p2@direct.athleticoltd.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1649509324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E VANDALIA ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251766",
            "telephone_number": "618-624-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E VANDALIA ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251766",
            "telephone_number": "618-659-9666",
            "fax_number": "618-659-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTON",
        "first_name": "ELLEN",
        "middle_name": "DEGEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

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