Corey Mills, PTA

Primary specialty

ContractorTaxonomy code 171W00000X

License

PTA 1244 Issued in AR

Practice address

9880 Brockington Rd
Suite 147
Sherwood, AR 72120-3585

Phone

(501) 944-7819

NPI assigned

Feb 2, 2011

Last updated

Feb 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Institute

  • Physical Therapy Clinic/Center
  • Little Rock, AR
  • NPI 1497077648
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1023314432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VISTA DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722101720",
            "telephone_number": "501-412-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 BROCKINGTON RD",
            "address_2": "SUITE 147",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203585",
            "telephone_number": "501-944-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "COREY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AR",
            "license": "PTA 1244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "1",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Miller
• Garrett Miller, PT
• Jasmine Jamika Miller
• Talesa Monique Miller
• Tiara L Miller, LCSW
• Margaret Mills, OTR/L
• Donald C Mitchell, BA, MHPP
• Tracy R Mitchell
• Brigette A Mocan, MD
• Momentum Therapeutic Services

• Contractor in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Contractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.