Sharron Elizabeth McMillan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

411 W Haycraft Ave Ste D4
Coeur D Alene, ID 83815-8104

Phone

(208) 664-2468

NPI assigned

Dec 26, 2018

Last updated

Dec 26, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage RehabGroup PAC ID 4587577507, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advantage Rehab

  • Physical Therapist
  • Cody, WY
  • NPI 1851419832
  Medicare reassignment Care Compare group NPD
• Jump Start Pediatric Therapy, LLC

  • Physical Therapy Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1144494105
  NPD (past)
• Jump Start Pediatrics

  • Supports Brokerage Agency
  • Coeur d'Alene, ID
  • NPI 1881072817
  NPD (past)

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1033681499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 N 15TH ST APT 1",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838156255",
            "telephone_number": "307-921-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W HAYCRAFT AVE STE D4",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158104",
            "telephone_number": "208-664-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "SHARRON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A McLandress, M.D.
• Matthew David McLaughlin, D.O.
• Vicki Ann McLaughlin, LCPC, NCC, CRC, DCC
• James P McMahon, PA-C
• Jennifer McMillan
• Julia Schulte McNamara, MD
• Shannon Jeanne McNamara, LCSW
• Brian Joseph McNamee, MD
• Margaret J McPaul, RNFA
• Kendra Elaine McSheridan

• Physical Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.