Active NPI
William Stuart Bremiller, MS MDT SCMT
- Physical Therapist
- Millbrook, NY
National Provider Identifier
1023005485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010882
- Practice address
- 2 Front St
Millbrook, NY 12545 - Phone
- (845) 677-5021
- Fax
- (845) 677-3117
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003455 | CT | |
| Physical Therapist | 225100000X | 010882 | NY | Primary |
Addresses
Primary practice location
2 Front St
Millbrook, NY 12545
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003455 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William S. Bremiller | Physical Therapist | Current | Accepting new patients |
Locations
2647 Route 44
Millbrook, NY 12545
Phone (845) 677-8045
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Millbrook, NY
- NPI 1104976307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1023005485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FRONT ST",
"city": "MILLBROOK",
"state": "NY",
"postal_code": "12545",
"telephone_number": "845-677-5021",
"fax_number": "845-677-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMILLER",
"first_name": "WILLIAM",
"middle_name": "STUART",
"name_prefix": "Mr.",
"credential": "MS MDT SCMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003455",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.