Individual provider Active NPI

Jonathan Thomas Milliron, DPT

  • Physical Therapist
  • Mechanicsburg, PA
National Provider Identifier
1720488737
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023801 Issued in PA
Practice address
5103 Carliste Pike
Gilbert Physical Therapy Affiliate of Outpatient Physic
Mechanicsburg, PA 17050
Phone
(717) 591-0955
Fax
(717) 591-0956
NPI assigned
Aug 27, 2014
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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 PT023801 PA Primary

Addresses

Primary practice location

5103 Carliste Pike
Gilbert Physical Therapy Affiliate of Outpatient Physic
Mechanicsburg, PA 17050

Mailing address

5103 Carliste Pike
Gilbert Physical Therapy Affiliate of Outpatient Physic
Mechanicsburg, PA 17050
Phone (717) 591-0955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017000022 PA Practitioner - Physical Therapist in Private Practice 1951522820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madden and Gilbert Physical Therapy LPGroup PAC ID 4587051537, 25 clinicians

Practice addresses (Care Compare)

5103 Carlisle Pike
Mechanicsburg, PA 17050-2400
Phone (717) 591-0955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023801PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madden and Gilbert Physical Therapy LP Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients

Locations

1104 Carlisle Rd
Ste 165
Camp Hill, PA 17011

1104 Carlisle Rd
Ste 170
Camp Hill, PA 17011
Phone (717) 210-5676

722 Allegheny St
Ste 2
Dauphin, PA 17018
Phone (717) 474-8754

5425 Jonestown Rd
Ste 100
Harrisburg, PA 17112
Phone (717) 901-6487

250 W Chocolate Ave
Ste 3
Hershey, PA 17033
Phone (717) 547-9100

5103 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 591-0955

14625 Mount Airy Rd
Ste 103
Shrewsbury, PA 17361
Phone (717) 584-8744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1720488737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 CARLISTE PIKE",
            "address_2": "GILBERT PHYSICAL THERAPY AFFILIATE OF OUTPATIENT PHYSIC",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-591-0955",
            "fax_number": "717-591-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 CARLISTE PIKE",
            "address_2": "GILBERT PHYSICAL THERAPY AFFILIATE OF OUTPATIENT PHYSIC",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-591-0955",
            "fax_number": "717-591-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIRON",
        "first_name": "JONATHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.