Individual provider Active NPI

Brianna N Mills

  • Physical Therapy Assistant
  • Crown Point, IN
National Provider Identifier
1144831827
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06006080A Issued in IN
Practice address
6625 W Lincoln Hwy Lowr Level
Crown Point, IN 46307-9678
Phone
(219) 440-5360
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06006080A IN Primary

Addresses

Primary practice location

6625 W Lincoln Hwy Lowr Level
Crown Point, IN 46307-9678

Mailing address

6625 W Lincoln Hwy Lowr Level
Crown Point, IN 46307-9678
Phone (219) 440-5360

Other practice location 1

8840 Calumet Ave Ste 103
Munster, IN 46321-2546
Phone (219) 703-2416

Other practice location 2

1545 W US Highway 30
Schererville, IN 46375-1562
Phone (219) 836-5381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06006080AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Munster Radiology Group PC Past Accepting new patients
Community Care Network Inc PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1144831827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 W LINCOLN HWY LOWR LEVEL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079678",
            "telephone_number": "219-440-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 W LINCOLN HWY LOWR LEVEL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079678",
            "telephone_number": "219-440-5360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8840 Calumet Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212546",
            "country_code": "US",
            "telephone_number": "219-703-2416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 W US Highway 30",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751562",
            "country_code": "US",
            "telephone_number": "219-836-5381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BRIANNA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06006080A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.