Individual provider Active NPI

Marguerite Gremillion Milliner, PTA

  • Physical Therapy Assistant
  • Baton Rouge, LA
National Provider Identifier
1194291120
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A09972 Issued in LA
Practice address
15420 S Harrells Ferry Rd Ste a
Baton Rouge, LA 70816-2933
Phone
(225) 214-5330
Fax
(225) 214-5333
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 A09972 LA Primary

Addresses

Primary practice location

15420 S Harrells Ferry Rd Ste a
Baton Rouge, LA 70816-2933

Mailing address

8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone (225) 408-6633

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
A09972LAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1194291120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD STE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-408-6633",
            "fax_number": "225-408-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 S HARRELLS FERRY RD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162933",
            "telephone_number": "225-214-5330",
            "fax_number": "225-214-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLINER",
        "first_name": "MARGUERITE",
        "middle_name": "GREMILLION",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "LA",
            "license": "A09972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.