MEDICARE: MRS. PAIGE EMORY MILAVICKAS D.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	34876	CA

General Provider Information

NPI Number	:	1780812271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAIGE EMORY MILAVICKAS D.P.T.

Provider Business Mailing Address
First Line	:	5013 DESPESTRE ST
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8085
Country	:	US
Telephone Number	:	916-485-6711
Fax Number	:

Provider Business Practice Location Address
First Line	:	5013 DESPESTRE ST
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-8085
Country	:	US
Telephone Number	:	916-485-6711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	01/21/2026

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Directions to “ MRS. PAIGE EMORY MILAVICKAS D.P.T.” Practice Location

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