Individual provider Active NPI

Emily Milbank, DPT

  • Physical Therapist
  • Lebanon, NH
National Provider Identifier
1659816577
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4176 Issued in NH
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

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190916000310 VT Practitioner - Physical Therapist in Private Practice 4981986510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40.0120515VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leclair Therapy, Inc. Physical Therapist CurrentSince Sep 30, 2019 Accepting new patients
Paquette Therapy Corporation Physical Therapist PastSince Sep 30, 2019 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.

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.

Verify at the official NPI Registry.