Milestones in Motion Physical Therapy Wellness, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MILESTONES IN MOTION PHYSICAL THERAPY WELLNESS, PC

Practice address

142 Bentley St
Staten Island, NY 10307-1235

Phone

(646) 334-0703

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Denise Derosa, PT, DPT

Title

Physical Therapist

Phone

(646) 334-0703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1801467386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BENTLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071235",
            "telephone_number": "646-334-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BENTLEY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071235",
            "telephone_number": "646-334-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES IN MOTION PHYSICAL THERAPY WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-334-0703",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yewande Temitope Mikoku, NURSE PRACTITIONER
• Victoria Milata
• Heather Joy Milatta
• Jeanine Milazzo
• Miles of Smiles Inc
• Bethanie Milford, LMSW
• Diane Marie Milio, LCSW
• Olga Militsina, FNP
• Mill Park Drugs Inc
• Mill Park Drugs Inc

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.