Active NPI
Diane Elaine McMillan, LMT
- Massage Therapist
- Massapequa, NY
National Provider Identifier
1164918736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 913 N Broadway
Massapequa, NY 11758-2364 - Phone
- (631) 355-7300
- NPI assigned
- Jul 7, 2018
- Last updated
- Jul 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
913 N Broadway
Massapequa, NY 11758-2364
Mailing address
146 Railroad Ave
Bethpage, NY 11714-2438
Phone (516) 808-4914
Other practice location 1
556 N Country Rd Ste 20
Saint James, NY 11780-1422
Phone (631) 355-7300
Other practice location 2
2848 Middle Country Rd
Lake Grove, NY 11755-2104
Phone (631) 355-7300
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Irevive Acupuncture PLLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530921600000",
"number": "1164918736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 RAILROAD AVE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117142438",
"telephone_number": "516-808-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 N BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582364",
"telephone_number": "631-355-7300"
}
],
"practiceLocations": [
{
"address_1": "556 N Country Rd Ste 20",
"address_purpose": "LOCATION",
"city": "Saint James",
"state": "NY",
"postal_code": "117801422",
"country_code": "US",
"telephone_number": "631-355-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2848 Middle Country Rd",
"address_purpose": "LOCATION",
"city": "Lake Grove",
"state": "NY",
"postal_code": "117552104",
"country_code": "US",
"telephone_number": "631-355-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLAN",
"first_name": "DIANE",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-07",
"last_updated": "2018-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.