MEDICARE: MINI MILESTONES PHYSICAL THERAPY, PC

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

General Provider Information

NPI Number	:	1902519796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINI MILESTONES PHYSICAL THERAPY, PC

Provider Business Mailing Address
First Line	:	6221 STATE ROUTE 31 STE 103B
Second Line	:
City	:	CICERO
State	:	NY
Zip	:	13039-8715
Country	:	US
Telephone Number	:	315-212-3923
Fax Number	:

Provider Business Practice Location Address
First Line	:	6221 STATE ROUTE 31 STE 103B
Second Line	:
City	:	CICERO
State	:	NY
Zip	:	13039-8715
Country	:	US
Telephone Number	:	315-212-3923
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	DR. BRITTANY SCHULER
Credential	:	PT, DPT, CBIS, NCS
Telephone Number	:	315-212-3923

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	03/27/2024

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