Cory Elizabeth McMillen, MS,LAT,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT2005957 Issued in PA

Practice address

20 N Newtown Street Rd
Newtown Square, PA 19073-2319

Phone

(484) 420-2680

NPI assigned

Mar 8, 2018

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1033611769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 KINGSWOOD DR",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189382213",
            "telephone_number": "215-499-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N NEWTOWN STREET RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732319",
            "telephone_number": "484-420-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLEN",
        "first_name": "CORY",
        "middle_name": "ELIZABETH",
        "credential": "MS,LAT,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT2005957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING BOARD OF CERTIFICATION",
            "identifier": "2000018197",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA STATE BOARD OF MEDICINE",
            "identifier": "RT005957",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley McAllister, DPT
• Catherine Debow McGinty, FNP
• Mary Katherine McGonagle, D.O.
• Alexis H McIntyre
• Michelle McIntyre, DPT
• Catherine McNally, LCSW
• Devon Blake Merkle, DO
• Meyer Pulmonology LLC
• Michael S Ayes, DDS and Associates Pennsylvania II, PC
• Middle Way Professional Counseling, LLC

• Athletic Trainer in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.