NPIMap

Organization Active NPI

Milestones Pediatric Therapy LLC

  • Physical Therapist
  • Scandinavia, WI
National Provider Identifier
1912063868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3515024 Issued in WI
Legal business name
MILESTONES PEDIATRIC THERAPY LLC
Practice address
3670 Isaacson Rd
Scandinavia, WI 54977-9604
Phone
(715) 252-1598
Fax
(715) 824-2350
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patricia Anne Orthwein, P.T.
Title
Physical Therapist, Member
Phone
(715) 252-1598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3515024 WI Primary

Addresses

Primary practice location

3670 Isaacson Rd
Scandinavia, WI 54977-9604

Mailing address

3670 Isaacson Rd
Scandinavia, WI 54977-9604
Phone (715) 252-1598

Other identifiers 1

IdentifierTypeStateIssuer
40185200MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912063868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 ISAACSON RD",
            "city": "SCANDINAVIA",
            "state": "WI",
            "postal_code": "549779604",
            "telephone_number": "715-252-1598",
            "fax_number": "715-824-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 ISAACSON RD",
            "city": "SCANDINAVIA",
            "state": "WI",
            "postal_code": "549779604",
            "telephone_number": "715-252-1598",
            "fax_number": "715-824-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTHWEIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, MEMBER",
        "authorized_official_telephone_number": "715-252-1598",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3515024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40185200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scandinavia, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.