Alexander Milentis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06005923A Issued in IN

Practice address

7125 Hanna St
Fort Wayne, IN 46816-1166

Phone

(260) 447-8811

NPI assigned

Apr 1, 2020

Last updated

Apr 1, 2020By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1811525934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 VITIANO CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 HANNA ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468161166",
            "telephone_number": "260-447-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILENTIS",
        "first_name": "ALEXANDER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06005923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Mikesell
• Kendra Miklos, LSW, LCACA
• Hannah Milam
• Milan Medical Transportation LLC
• Mickayla Milby
• Erin Miles, PYSD
• Luke Fitzgerald Miles, M.D.
• Sharon S Miley, LMFT
• Zheng Milgrom
• Mirela Militaru, PSY.D.

• Physical Therapy Assistant in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.