Kristen M McMillion, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001977 Issued in WV

Practice address

111 Davis Stuart Road
Ronceverte, WV 24970

Phone

(304) 647-3987

Fax

(304) 647-3990

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greenbrier Valley Physical Therapy, LLC

  • Physical Therapist
  • Lewisburg, WV
  • NPI 1619260353
  Medicare reassignment NPD
• Greenbrier Valley Physical Therapy LLC

  • Specialist
  • Princeton, WV
  • NPI 1447932744
  NPD
• Greenbrier Valley Physical Therapy, LLC

  • Specialist
  • Ronceverte, WV
  • NPI 1407946932
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1114003126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DAVIS STUART ROAD",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-647-3987",
            "fax_number": "304-647-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAVIS STUART ROAD",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "24970",
            "telephone_number": "304-647-3987",
            "fax_number": "304-647-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "001977",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302139000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKERS COMP",
            "identifier": "550755833",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis L McClintic, DPT
• Savannah Pixote McClung, DPT
• Shania McCoy
• Abby McCutcheon, DPT
• Alisha McGuire, RN
• Abigail Alida McNeel
• James P Meadows, RPH
• Theresa Elizabeth Mellette, D.O.
• Laura Jean Merrill, MD
• Kenley Trace Midkiff, RN

• Physical Therapist in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.