Individual provider Active NPI

Joseph Phillip Milazzo, DPT

  • Physical Therapist
  • Mount Pleasant, WI
National Provider Identifier
1932470705
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1125224 Issued in WI
Practice address
6109 Braun Rd
Mount Pleasant, WI 53403-9409
Phone
(262) 977-6726
NPI assigned
Jan 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1125224 WI Primary

Addresses

Primary practice location

6109 Braun Rd
Mount Pleasant, WI 53403-9409

Mailing address

W264N2044 Deer Haven CT # B
Pewaukee, WI 53072-6623
Phone (414) 510-3272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190206001640 WI Practitioner - Physical Therapist in Private Practice 2062750672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1125224WIMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1932470705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W264N2044 DEER HAVEN CT # B",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726623",
            "telephone_number": "414-510-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 BRAUN RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534039409",
            "telephone_number": "262-977-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAZZO",
        "first_name": "JOSEPH",
        "middle_name": "PHILLIP",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-25",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1125224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.