Michael Van Milfort

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23867 Issued in MD

Practice address

543 Halite Dr
Reisterstown, MD 21136-6238

Phone

(240) 604-4881

NPI assigned

Dec 8, 2011

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

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.

• SPRC, LLC

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Columbia, MD
  • NPI 1457575656
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1861760639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 HALITE DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366238",
            "telephone_number": "240-604-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 HALITE DR",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211366238",
            "telephone_number": "240-604-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Wilkens Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212294600",
            "country_code": "US",
            "telephone_number": "410-644-8500",
            "fax_number": "410-644-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILFORT",
        "first_name": "MICHAEL",
        "middle_name": "VAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Concepts LLC
• Mackenzie Meskin
• MH Therapy, LLC
• Nicole Michael, PA-C
• Elyse Lynn Michelson, M.D.
• Yaneth Millan
• Aharon S Miller, LCPC
• Alexandra Miller, RDN, LDN
• Raymond Miller, MD
• Mind Body and Balance

• Physical Therapist in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.