Millennium Medical and Rehabilitation, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MILLENNIUM MEDICAL AND REHABILITATION, PC

Practice address

1075 Central Park Ave
Ste 107
Scarsdale, NY 10583-3242

Phone

(845) 362-8400

NPI assigned

Jul 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tin Tin Wynn, MD

Title

Medical Director

Phone

(845) 362-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265467963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL AVE",
            "address_2": "STE 107",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "845-362-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "STE 107",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "845-362-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL AND REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "TIN TIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "845-362-8400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael a Zullo,MD,PC
• Michael L Bard DC PC
• Michael R Jurkowich
• Verena Christiana Michels, CSW
• Joan Milano, LCSW
• Beth Lyssa Miller, LMSW
• Danielle Miller, M.S., CCC-SLP, TSSLD
• Milton Lee, MD, PC
• Stefania Miro
• Susan Miron Schwartz, OT/L

• Physical Therapist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Physical Therapist in New York

• 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.