Mills River Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10304 Issued in NC

Legal business name

MILLS RIVER PHYSICAL THERAPY

Practice address

4687 Boylston Hwy
Horse Shoe, NC 28742-6731

Phone

(828) 890-0040

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Lacy Dylewski

Title

President

Phone

(828) 890-0040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194749952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4687 BOYLSTON HWY",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287426731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 BOYLSTON HWY",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287426731",
            "telephone_number": "828-890-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS RIVER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYLEWSKI",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-890-0040"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom A Gross, DC
• Anna Majzlik Hicks, MD
• Ray Holland II, L.P.C, L.M.H.C.
• Richard Donovan Knapp, ATS, CPHT
• Stephen Anthony Lefebvre, LMT
• Tina Bennett Penland, LMBT
• Jessica Ann Rahm, FNP
• Larry Joe Russell, MD
• Stephen Peter Strain, CNA
• Susan Maxwell Swan, EDS

• Physical Therapy Clinic/Center in Horse Shoe, NC
• Providers in Horse Shoe, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.