Active NPI
Emily Milbank, DPT
- Physical Therapist
- Lebanon, NH
National Provider Identifier
1659816577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4176
- Practice address
- 112 Etna Rd
Lebanon, NH 03766-1454 - Phone
- (603) 643-7788
- Fax
- (603) 643-0022
- NPI assigned
- Jan 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4176 | NH | Primary |
| Physical Therapist | 225100000X | 40.0120515 | VT |
Addresses
Primary practice location
112 Etna Rd
Lebanon, NH 03766-1454
Mailing address
112 Etna Rd
Lebanon, NH 03766-1454
Phone (603) 643-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40.0120515 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leclair Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Paquette Therapy Corporation | Physical Therapist | Past | Accepting new patients |
Locations
21 Carmichael St
Essex Junction, VT 05452
Phone (802) 878-9572
1 Towne Market Pl
Unit 33
Essex Junction, VT 05452
Phone (802) 878-9572
1 Towne Market Pl
Essex Junction, VT 05452
Phone (802) 655-1737
1879 Williston Rd
South Burlington, VT 05403
Phone (802) 878-9572
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 and National Provider Directory roles.
-
- Physical Therapist
- Essex JCT, VT
- NPI 1821002189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483315200000",
"number": "1659816577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ETNA RD",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661454",
"telephone_number": "603-643-7788",
"fax_number": "603-643-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ETNA RD",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661454",
"telephone_number": "603-643-7788",
"fax_number": "603-643-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBANK",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-02",
"last_updated": "2017-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4176",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "40.0120515",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.