Individual provider Active NPI

Milomir Milosevich, PT

  • Geriatric Physical Therapist
  • Laguna Niguel, CA
National Provider Identifier
1669509261
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT27729 Issued in CA
Practice address
27881 La Paz Rd
Suite G262
Laguna Niguel, CA 92677-3933
Phone
(714) 281-0169
Fax
(714) 281-2238
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT27729 CA Primary

Addresses

Primary practice location

27881 La Paz Rd
Suite G262
Laguna Niguel, CA 92677-3933

Mailing address

27881 La Paz Rd
Suite G262
Laguna Niguel, CA 92677-3933
Phone (714) 281-0169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000372 CA Practitioner - Physical Therapist in Private Practice 0244263770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physica IncGroup PAC ID 5496795148, 2 clinicians

Practice addresses (Care Compare)

17911 Sky Park Cir
Suite L
Irvine, CA 92614-2403
Phone (949) 502-5520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27729CAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Physical Therapy, Inc Geriatrics PastSince Jul 28, 2003 Accepting new patients
JM Physical Therapy Inc Geriatrics Past Accepting new patients
Mesisca Physical Therapy Inc Geriatrics PastSince Jul 28, 2003 Accepting new patients

Organizations & group practices 4

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1669509261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27881 LA PAZ RD",
            "address_2": "SUITE G262",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773933",
            "telephone_number": "714-281-0169",
            "fax_number": "714-281-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27881 LA PAZ RD",
            "address_2": "SUITE G262",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773933",
            "telephone_number": "714-281-0169",
            "fax_number": "714-281-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOSEVICH",
        "first_name": "MILOMIR",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT27729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.