Millennium Physical Therapy II, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01023300 Issued in NJ

Legal business name

MILLENNIUM PHYSICAL THERAPY II, LLC

Practice address

1055 Hamburg Tpke
Wayne, NJ 07470-3235

Phone

(973) 305-0064

Fax

(973) 305-0074

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Thomas Debellis, MS, PT

Title

Owner, Physical Therapist

Phone

(973) 305-0064

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Allan Mark Roth, PT

  • Physical Therapist
  • Paramus, NJ
  • NPI 1649266081
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073674891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076530264",
            "telephone_number": "973-305-0064",
            "fax_number": "973-305-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703235",
            "telephone_number": "973-305-0064",
            "fax_number": "973-305-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PHYSICAL THERAPY II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEBELLIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-305-0064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01023300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Mickey, M.D.
• Katy Mierta, APN
• Hany A Mikhail
• Edward Milano, M.D.
• Jansenia Diane Millares, MSN, APRN, FNP-C
• Melissa Miller, LAC, NCC
• Robert Milligan, DDS
• Mindframe, LLC
• Mindful Intentions
• Ashley Minetti

• Physical Therapist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.