Millennium Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3086 Issued in AL

Legal business name

MILLENNIUM PHYSICAL THERAPY, LLC

Practice address

4847 Promenade Pkwy Ste 102
Bessemer, AL 35022-7310

Phone

(205) 481-9012

Fax

(205) 481-9014

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jon Michael Lamb, MS, PTNPI 1982639845

Title

Owner

Phone

(205) 365-7602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

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

• Jon Lamb, PT

  • Physical Therapist
  • Bessemer, AL
  • NPI 1982639845
  Medicare reassignment Care Compare group NPD Authorized official
• Shelby Stanaland Smith, OTR/L

  • Occupational Therapist
  • Bessemer, AL
  • NPI 1750059556
  Medicare reassignment Care Compare group NPD
• Karen Janert Vaughn, P.T,M.T.C.

  • Orthopedic Physical Therapist
  • Bessemer, AL
  • NPI 1336630755
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1073777223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 PROMENADE PKWY",
            "address_2": "SUITE 109",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227305",
            "telephone_number": "205-481-9012",
            "fax_number": "205-481-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 PROMENADE PKWY STE 102",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227310",
            "telephone_number": "205-481-9012",
            "fax_number": "205-481-9014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3090 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352432323",
            "country_code": "US",
            "telephone_number": "205-481-9012",
            "fax_number": "205-481-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILLENNIUM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-365-7602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Till Merrill, ALC
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• Kristen Nicole Michael, D.O.
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• Sharde Renae Miller
• Cody Reed Mimms
• Mission Dental Mobile LLC
• Davis Mitchell, DDS

• Physical Therapist in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.