Individual provider Active NPI

Jillian Lynn Milin, MSPT

  • Physical Therapist
  • Saint James, NY
National Provider Identifier
1033545736
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032993-1 Issued in NY
Practice address
33 Great Oak Rd
Saint James, NY 11780-1414
Phone
(203) 232-3410
Fax
(631) 382-8324
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032993-1 NY Primary

Addresses

Primary practice location

33 Great Oak Rd
Saint James, NY 11780-1414

Mailing address

33 Great Oak Rd
Saint James, NY 11780-1414
Phone (203) 232-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218001321 NY Practitioner - Physical Therapist in Private Practice 7113154162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Energize Home Physical Therapy PLLCGroup PAC ID 8426319161, 8 clinicians

Practice addresses (Care Compare)

33 Great Oak Rd
Saint James, NY 11780-1414
Phone (203) 232-3410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032993-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Energize Home Physical Therapy PLLC Physical Therapist CurrentSince Feb 1, 2018 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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586649600000",
    "number": "1033545736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GREAT OAK RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801414",
            "telephone_number": "203-232-3410",
            "fax_number": "631-382-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GREAT OAK RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801414",
            "telephone_number": "203-232-3410",
            "fax_number": "631-382-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILIN",
        "first_name": "JILLIAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032993-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.