Individual provider Active NPI

Donna Miles-Gillick, PT

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1811202625
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00853600 Issued in NJ
Practice address
4 Cornwall Dr
Suite 220
East Brunswick, NJ 08816-3332
Phone
(732) 257-0900
Fax
(732) 257-5099
NPI assigned
Aug 17, 2010
Last updated
Aug 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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 40QA00853600 NJ Primary

Addresses

Primary practice location

4 Cornwall Dr
Suite 220
East Brunswick, NJ 08816-3332

Mailing address

4 Cornwall Dr
Suite 220
East Brunswick, NJ 08816-3332
Phone (732) 257-0900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121227000454 NJ Practitioner - Physical Therapist in Private Practice 8022261007 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Home Rehabilitation, LLC Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
Homecare Rehab LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients

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, 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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1811202625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORNWALL DR",
            "address_2": "SUITE 220",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163332",
            "telephone_number": "732-257-0900",
            "fax_number": "732-257-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORNWALL DR",
            "address_2": "SUITE 220",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163332",
            "telephone_number": "732-257-0900",
            "fax_number": "732-257-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES-GILLICK",
        "first_name": "DONNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00853600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.