Provider Demographics
NPI:1437249687
Name:MILESTONES PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:MILESTONES PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFFINO
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:810-614-0450
Mailing Address - Street 1:4032 BELLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DRYDEN
Mailing Address - State:MI
Mailing Address - Zip Code:48428-9387
Mailing Address - Country:US
Mailing Address - Phone:810-614-0450
Mailing Address - Fax:
Practice Address - Street 1:4032 BELLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:DRYDEN
Practice Address - State:MI
Practice Address - Zip Code:48428-9387
Practice Address - Country:US
Practice Address - Phone:810-614-0450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1295742997OtherNPI