Peter Troy McMillan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62250 Issued in OR

Practice address

1122 NE 2ND St
Corvallis, OR 97330-6227

Phone

(541) 250-4525

Fax

(541) 250-4570

NPI assigned

Jun 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Corvallis Sport and Spine Physical Therapy Inc

  dba Albany Sport and Spine Physical Therapy

  • Physical Therapist
  • Albany, OR
  • NPI 1477991149
  NPD (past)
• Pediatric Therapy Services Inc

  • Pediatric Occupational Therapist
  • Gresham, OR
  • NPI 1700842531
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1225567837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306227",
            "telephone_number": "541-250-4525",
            "fax_number": "541-250-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NE 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306227",
            "telephone_number": "541-250-4525",
            "fax_number": "541-250-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "PETER",
        "middle_name": "TROY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Rose McMahan, MD
• Joy L McMahon, LCSW
• Susan Marie McMahon
• Ashley Hennessey McMann, M.D.
• Candace J McMaster I
• Howland McNelia
• Kristy McPeak, LPC INTERN, NCC
• Taryn McPheeters
• Cynthia Ann McQuade, LCSW
• Icis Jena McQueen

• Physical Therapist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.