Organization Active NPI

New Millennium Therapy

  • Rehabilitation Clinic/Center
  • Charlotte, NC
National Provider Identifier
1053641670
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
5090 Issued in NC
Legal business name
NEW MILLENNIUM THERAPY
Practice address
8213 Escaflowne Ave
Charlotte, NC 28216-2265
Phone
(704) 906-3585
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Mr. Timothy Lavar Freeman, OTR/LNPI 1447580063
Title
President
Phone
(704) 906-3585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 5090 NC Primary

Addresses

Primary practice location

8213 Escaflowne Ave
Charlotte, NC 28216-2265

Mailing address

8213 Escaflowne Ave
Charlotte, NC 28216-2265
Phone (704) 906-3585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1053641670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8213 ESCAFLOWNE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162265",
            "telephone_number": "704-906-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8213 ESCAFLOWNE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162265",
            "telephone_number": "704-906-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILLENNIUM THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAVAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-906-3585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NC",
            "license": "5090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.