Rob Mildes, P.T.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

PT00005790 Issued in WA

Practice address

14315 E Tallman Rd
Chattaroy, WA 99003-9507

Phone

(509) 238-3020

NPI assigned

Apr 4, 2011

Sex

Male

Sole proprietor

Yes

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1902195597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 E TALLMAN RD",
            "address_2": "P.O. BOX 517",
            "city": "CHATTAROY",
            "state": "WA",
            "postal_code": "990039507",
            "telephone_number": "509-238-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 E TALLMAN RD",
            "city": "CHATTAROY",
            "state": "WA",
            "postal_code": "990039507",
            "telephone_number": "509-238-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILDES",
        "first_name": "ROB",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "PT00005790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in Chattaroy, WA
• Providers in Chattaroy, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.