Sharon Mielnicki, PT.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305002358 Issued in VA

Practice address

7010 Braddock Rd
Annandale, VA 22003-6006

Phone

(703) 941-8810

NPI assigned

May 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Phillips Programs

  • Clinical Social Worker
  • Annandale, VA
  • NPI 1568714624
  NPD (past)
• Phillips Programs

  • Community/Behavioral Health Agency
  • Annandale, VA
  • NPI 1659453231
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1811344930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 BRADDOCK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036006",
            "telephone_number": "703-941-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 BRADDOCK RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220036006",
            "telephone_number": "703-941-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELNICKI",
        "first_name": "SHARON",
        "credential": "PT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Milestone Group Homes & Nursing
• Milestone Masters Pediatric Therapy Inc
• Amanda Cataldo Miller, M.A. CCC-SLP
• Amy Miller, LCSW
• Beth Miller, MS, OTR/L

• Physical Therapist in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.