Organization Active NPI

Mini Milestones Physical Therapy, PC

  • Physical Therapist
  • Cicero, NY
National Provider Identifier
1902519796
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MINI MILESTONES PHYSICAL THERAPY, PC
Practice address
6221 State Route 31 Ste 103B
Cicero, NY 13039-8715
Phone
(315) 212-3923
NPI assigned
Dec 27, 2022
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Dr. Brittany Schuler, PT, DPT, CBIS, NCSNPI 1639502685
Title
Physical Therapist/Owner
Phone
(315) 212-3923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6221 State Route 31 Ste 103B
Cicero, NY 13039-8715

Mailing address

6221 State Route 31 Ste 103B
Cicero, NY 13039-8715
Phone (315) 212-3923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240718003494 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911443692 Receives reassigned benefits from 1 practitioner
Practice locations: Cicero, NY

National Provider Directory

National Provider Directory

Locations

6221 State Route 31
Ste 1103B
Cicero, NY 13039
Phone (315) 212-3923

6221 State Route 31
Ste 103B
Cicero, NY 13039
Phone (315) 212-3923

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1902519796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 STATE ROUTE 31 STE 103B",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398715",
            "telephone_number": "315-212-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 STATE ROUTE 31 STE 103B",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398715",
            "telephone_number": "315-212-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI MILESTONES PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "SCHULER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "315-212-3923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CBIS, NCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.