Individual provider Active NPI

Thurston Dru McMillen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Clearwater, FL
National Provider Identifier
1144455510
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME112409 Issued in FL
Practice address
2803 Gulf to Bay Blvd # 150
Clearwater, FL 33759-4014
Phone
(308) 631-8345
NPI assigned
May 28, 2009
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125056250 IL
Physical Medicine & Rehabilitation Physician 208100000X P5291 TX
Physical Medicine & Rehabilitation Physician 208100000X ME112409 FL Primary

Addresses

Primary practice location

2803 Gulf to Bay Blvd # 150
Clearwater, FL 33759-4014

Mailing address

2813 Gulf to Bay Blvd # 150
Clearwater, FL 33759-4014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130301000339 FL Practitioner - Physical Medicine and Rehabilitation 0143475806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Integrated Rehabilitation LLCGroup PAC ID 6709162977, 11 clinicians

Practice addresses (Care Compare)

19091 N Dale Mabry Hwy
Lutz, FL 33548-4982
Phone (813) 968-8777

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME112409FLMDPhysical Medicine & Rehabilitation Physician
125056250ILMDPhysical Medicine & Rehabilitation Physician
P5291TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrated Rehabilitation, LLC CurrentSince Jan 17, 2017 Accepting new patients
Spinecare Associates, LLC Physical Medicine & Rehabilitation Past Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
Lsi Houston, PA Past Accepting new patients

Locations

2803 Gulf To Bay Blvd
#150
Clearwater, FL 33759
Phone (308) 631-8345

2813 Gulf To Bay Blvd
Clearwater, FL 33759

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1144455510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 GULF TO BAY BLVD # 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 GULF TO BAY BLVD # 150",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594014",
            "telephone_number": "308-631-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLEN",
        "first_name": "THURSTON",
        "middle_name": "DRU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125056250",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P5291",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME112409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.