Devon Leigh Milbrand, PTA
Individual provider Active NPI Physical Therapy Assistant · Elma, NY
NPI 1669729372 · NPPES record last updated Aug 13, 2012
Key facts
- NPI
- 1669729372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 008465-1 (NY)
- Practice address
- 960 West Maple Court
Elma, NY 14059-9530 - Phone
- (716) 805-1555
- Fax
- (716) 805-1444
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008465-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Adult Services-Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 008465-1 | NY | Yes |
Addresses
Primary practice location
960 West Maple Court
Elma, NY 14059-9530
Mailing address
960 West Maple Court
Elma, NY 14059-9530
Phone (716) 805-1555
Other providers in Elma, NY
- Ellen L Marrone
- Michele A Matala
- James F May
- Adam McCrea
- Ronald Lewis Michelini
- Patricia Miller
- Tracy Ann Miller
- Laura Beth Monheim
- Morgan Integrated Chiropractic Services
- Shaun Morgan
All providers in Elma, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.