Individual provider Active NPI

Martin Keven Milner, MS,PT

  • Physical Therapist
  • Hot Springs Village, AR
National Provider Identifier
1063473924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2041 Issued in AR
Practice address
4656 N Highway 7
Suite M
Hot Springs Village, AR 71909-9483
Phone
(501) 984-6777
Fax
(501) 984-6778
NPI assigned
Mar 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT2041 AR Primary

Addresses

Primary practice location

4656 N Highway 7
Suite M
Hot Springs Village, AR 71909-9483

Mailing address

PO Box 8786
Hot Springs, AR 71910-8786
Phone (501) 984-6777

Other identifiers 1

IdentifierTypeStateIssuer
5U151OtherARARKANSAS BC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001196 IN Practitioner - Physical Therapist in Private Practice 6608894837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

343 E 90TH Dr
Merrillville, IN 46410-8152
Phone (219) 207-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT2041ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jan 22, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jan 22, 2019 Accepting new patients

Locations

536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063473924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8786",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719108786",
            "telephone_number": "501-984-6777",
            "fax_number": "501-984-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 N HIGHWAY 7",
            "address_2": "SUITE M",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719099483",
            "telephone_number": "501-984-6777",
            "fax_number": "501-984-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNER",
        "first_name": "MARTIN",
        "middle_name": "KEVEN",
        "name_prefix": "Mr.",
        "credential": "MS,PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BC/BS",
            "identifier": "5U151",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.