NPIMap

Organization Active NPI

Milestone Physical Therapy, LLC

  • Physical Therapist
  • Fishertown, PA
National Provider Identifier
1922406073
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013545L Issued in PA
Legal business name
MILESTONE PHYSICAL THERAPY, LLC
Practice address
3037 Valley Rd
Fishertown, PA 15539-9854
Phone
(814) 839-2838
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Mrs. Karen M Leppert, PT, DPT, PCSNPI 1336145648
Title
Owner/Physical Therapist
Phone
(814) 659-6412

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: 193200000X MULTI-SPECIALTY GROUP 225100000X PT013545L PA Primary

Addresses

Primary practice location

3037 Valley Rd
Fishertown, PA 15539-9854

Mailing address

PO Box 45
Fishertown, PA 15539-0045
Phone (814) 839-2838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190605000015 PA Part B Supplier - Clinic/Group Practice 1456684562 Receives reassigned benefits from 2 practitioners
Practice locations: Fishertown, PA

National Provider Directory

National Provider Directory

Locations

3029 Valley Rd
Fishertown, PA 15539
Phone (814) 839-2838

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1922406073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "FISHERTOWN",
            "state": "PA",
            "postal_code": "155390045",
            "telephone_number": "814-839-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 VALLEY RD",
            "city": "FISHERTOWN",
            "state": "PA",
            "postal_code": "155399854",
            "telephone_number": "814-839-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "LEPPERT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "814-659-6412",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT, PCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013545L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.