Individual provider Active NPI

Marc C Millner, PT

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1073126694
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298927 Issued in CA
Practice address
319 Anacapa St
Santa Barbara, CA 93101-2351
Phone
(805) 898-1907
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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 298927 CA Primary

Addresses

Primary practice location

319 Anacapa St
Santa Barbara, CA 93101-2351

Mailing address

21 S Canada St Apt a
Santa Barbara, CA 93103-3738
Phone (805) 452-6281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923003067 CA Practitioner - Physical Therapist in Private Practice 2264851336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Rehabilitation Center, Inc.Group PAC ID 5193804276, 12 clinicians

Practice addresses (Care Compare)

121 Gray Ave
Suite 100
Santa Barbara, CA 93101-1800
Phone (805) 681-9108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298927CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Rehabilitation Center, Inc. Physical Therapist CurrentSince May 16, 2023 Accepting new patients
Sansum Clinic PastSince Aug 30, 2020 Accepting new patients

Locations

5152 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 681-9108

121 Gray Ave
Ste 100
Santa Barbara, CA 93101
Phone (805) 681-9108

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.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1073126694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S CANADA ST APT A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033738",
            "telephone_number": "805-452-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 ANACAPA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012351",
            "telephone_number": "805-898-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLNER",
        "first_name": "MARC",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.