Active NPI
Rommel Lim Milliam, RPT
- Physical Therapist
- Middletown, NY
National Provider Identifier
1053746701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019050-1
- Practice address
- 42 Rykowski LN
Middletown, NY 10941-4018 - Phone
- (845) 673-5554
- Fax
- (845) 673-5760
- NPI assigned
- Sep 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019050-1 | NY | Primary |
Addresses
Primary practice location
42 Rykowski LN
Middletown, NY 10941-4018
Mailing address
11 Milo Dr
Middletown, NY 10941-2037
Phone (845) 800-8795
Other practice location 1
11 Milo Dr
Middletown, NY 10941-2037
Phone (845) 977-7531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
42 Rykowski LN
Middleton, NY 10941-4018
Phone (845) 673-5554
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019050-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| Middletown Health Wellness Chiropractic PC | Past | Accepting new patients |
Locations
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Middletown, NY
- NPI 1619466307
-
- Rehabilitation Practitioner
- Brooklyn, NY
- NPI 1184878274
-
- Chiropractor
- Middletown, NY
- NPI 1306601570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1053746701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MILO DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109412037",
"telephone_number": "845-800-8795",
"fax_number": "845-673-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 RYKOWSKI LN",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414018",
"telephone_number": "845-673-5554",
"fax_number": "845-673-5760"
}
],
"practiceLocations": [
{
"address_1": "11 Milo Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109412037",
"country_code": "US",
"telephone_number": "845-977-7531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLIAM",
"first_name": "ROMMEL",
"middle_name": "LIM",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-12",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019050-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.