Individual provider Active NPI

Maria Mills, PT

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1073657094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0100261 Issued in NY
Practice address
709 W Jericho Tpke
Huntington, NY 11743-6336
Phone
(631) 549-1280
Fax
(631) 549-1005
NPI assigned
Feb 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 0100261 NY Primary

Addresses

Primary practice location

709 W Jericho Tpke
Huntington, NY 11743-6336

Mailing address

709 W Jericho Tpke
Huntington, NY 11743-6336
Phone (631) 549-1280

Other identifiers 1

IdentifierTypeStateIssuer
01000261OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141107000388 NY Practitioner - Physical Therapist in Private Practice 3779705728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010026-1NYMDPsychologist
010026NYMDOptometrist
0100261NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Sports Physical Therapy, PLLC CurrentSince Sep 1, 2014 Accepting new patients
PS Physical Therapy Past Accepting new patients
Oconnell Selig & Associates LLP Physical Therapist PastSince Oct 1, 2003 Accepting new patients
O'Connell, Selig&Associates L.L.P Past Accepting new patients

Locations

170 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 921-2900

234 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 477-8003

234 Crossways Park Dr
Ste 2
Woodbury, NY 11797

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073657094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436336",
            "telephone_number": "631-549-1280",
            "fax_number": "631-549-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W JERICHO TPKE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436336",
            "telephone_number": "631-549-1280",
            "fax_number": "631-549-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MARIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0100261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01000261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.