NPIMap

Organization Active NPI

William S. Bremiller

Doing business as Millbrook Orthopedic & Sports Physical Therapy

  • Physical Therapist
  • Millbrook, NY
National Provider Identifier
1104976307
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1023005485 Issued in NY
Legal business name
WILLIAM S. BREMILLER
Doing business as
Millbrook Orthopedic & Sports Physical Therapy
Practice address
2 Front Street
Millbrook, NY 12545
Phone
(845) 677-5021
Fax
(845) 677-3117
NPI assigned
Jan 11, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
William S. Bremiller, MPTNPI 1023005485
Title
Owner
Phone
(845) 677-5021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1023005485 NY Primary

Addresses

Primary practice location

2 Front Street
Millbrook, NY 12545

Mailing address

2 Front Street
P.O. Box 1464
Millbrook, NY 12545
Phone (845) 677-5021

Other names 1

  • Millbrook Orthopedic & Sports Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2647 Route 44
Millbrook, NY 12545
Phone (845) 677-8045

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1104976307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FRONT STREET",
            "address_2": "P.O. BOX 1464",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "12545",
            "telephone_number": "845-677-5021",
            "fax_number": "845-677-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FRONT STREET",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "12545",
            "telephone_number": "845-677-5021",
            "fax_number": "845-677-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. BREMILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BREMILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-677-5021",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "1023005485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrook Orthopedic & Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.