Amy Kathryn McMillion, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P16105 Issued in NC

Practice address

106 N Main St
Graham, NC 27253

Phone

(984) 528-7389

NPI assigned

Feb 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1154789709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532849",
            "telephone_number": "984-528-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "27253",
            "telephone_number": "984-528-7389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 N Church St",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274055666",
            "country_code": "US",
            "telephone_number": "336-274-7480",
            "fax_number": "336-274-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE",
            "identifier": "P16105",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macksummblack Enterprises Inc
• Madison Community Alternatives, Inc.
• Mary Makhlouf, DMD
• Gabriel A. Matos, D.C.
• Sarah Paige McCaughan, PHARMD
• Tiffany McOwen
• Rudolph Arthur McPherson Sr.
• Alison McWilliams, RPH
• Milicia a. Tedder
• Nathaniel Edward Mitchum, DMD

• Physical Therapist in Graham, NC
• Providers in Graham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.