Active NPI
Millie Marcus, DPT
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1023604451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046585-01
- Practice address
- 1716 Coney Island Ave
Brooklyn, NY 11230-5801 - Phone
- (718) 336-4900
- NPI assigned
- Dec 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046585-01 | NY | Primary |
Addresses
Primary practice location
1716 Coney Island Ave
Brooklyn, NY 11230-5801
Mailing address
2189 E 3Rd St
Brooklyn, NY 11223-4807
Phone (917) 605-1044
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046585 | NY | MD | General Practice Dentistry |
| 046585-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yad OT PT PLLC | Physical Therapist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608422400000",
"number": "1023604451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2189 E 3RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234807",
"telephone_number": "917-605-1044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305801",
"telephone_number": "718-336-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "MILLIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-20",
"last_updated": "2020-12-20",
"certification_date": "2020-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046585-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.