Millennium Rehab & Consulting, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MILLENNIUM REHAB & CONSULTING, INC.

Doing business as

Millennium Therapy

Practice address

5260 Northwest Blvd
Suite 2
Davenport, IA 52806-2463

Phone

(563) 445-2400

Fax

(563) 445-2404

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Rob F Hentzen

Title

Ceo

Phone

(515) 331-3190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millennium Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosamaria Puente, DPT

  • Physical Therapist
  • Davenport, IA
  • NPI 1477720118
  NPD (past)

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1033349253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD",
            "address_2": "SUITE 107",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983",
            "telephone_number": "515-331-3190",
            "fax_number": "515-331-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 NORTHWEST BLVD",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062463",
            "telephone_number": "563-445-2400",
            "fax_number": "563-445-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM REHAB & CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "HENTZEN",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-331-3190",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665802",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harold L Mihm, M.D.
• Kerstyn Milam
• Eric A Milch, DMD
• Evan Frank Miles, DPT, PT
• Mark Arthur Milleman, M.D.
• Celeste Eileen Miller, M.D
• Elizabeth A Miller, PT
• Harold W Miller, MD
• Joanne M Miller, M.D.
• Karolyn Miller, PT, DPT

• Clinic/Center in Davenport, IA
• Providers in Davenport, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.