Provider Demographics
NPI:1518148386
Name:MILESTONES PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:MILESTONES PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:BS,PT
Authorized Official - Phone:304-201-5122
Mailing Address - Street 1:130 GEORGE ST STE A
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-2648
Mailing Address - Country:US
Mailing Address - Phone:304-929-2665
Mailing Address - Fax:304-929-2667
Practice Address - Street 1:130 GEORGE ST STE A
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2648
Practice Address - Country:US
Practice Address - Phone:304-929-2665
Practice Address - Fax:304-929-2667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV001555225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty