MEDICARE: MILFORD PHYSICAL THERAPY LLC

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	225100000X	Physical Therapist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DD9893	OTHER	NE	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376623298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILFORD PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	511 FIRST ST
Second Line	:	PO BOX 747
City	:	MILFORD
State	:	NE
Zip	:	68405
Country	:	US
Telephone Number	:	402-761-4000
Fax Number	:	402-761-4005

Provider Business Practice Location Address
First Line	:	511 1ST ST
Second Line	:
City	:	MILFORD
State	:	NE
Zip	:	68405-9701
Country	:	US
Telephone Number	:	402-761-4000
Fax Number	:	402-761-4005

Authorized Official
Title or Position	:	OWNER
Name	:	BRETT I SMITH
Credential	:
Telephone Number	:	402-761-4000

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	11/06/2009

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Directions to “MILFORD PHYSICAL THERAPY LLC ” Practice Location

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