Individual provider Active NPI

Kelley Millen, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1295274942
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16855 Issued in NC
Practice address
3410 Executive Dr
#205
Raleigh, NC 27609-7450
Phone
(919) 322-0042
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16855 NC Primary

Addresses

Primary practice location

3410 Executive Dr
#205
Raleigh, NC 27609-7450

Mailing address

1130 Trinity Pine LN
Apt 306
Raleigh, NC 27607-0140
Phone (304) 617-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170512000342 NC Practitioner - Physical Therapist in Private Practice 1355628710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Physical Therapy LLCGroup PAC ID 8729401625, 75 clinicians

Practice addresses (Care Compare)

7801 Alexander Promenade PL
Raleigh, NC 27617-7351
Phone (919) 791-6678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Feb 20, 2017 Accepting new patients
Best Physical Therapy, LLC Physical Therapist CurrentSince Jan 10, 2022 Accepting new patients

Locations

1801 Olive Chapel Rd
Ste 103
Apex, NC 27502
Phone (919) 373-5353

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

9529 Chapel Hill Rd
Morrisville, NC 27560
Phone (888) 265-4003

7801 Alexander Promenade Pl
Ste 100
Raleigh, NC 27617

7801 Alexander Promenade Pl
Raleigh, NC 27617
Phone (888) 265-4003

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1295274942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TRINITY PINE LN",
            "address_2": "APT 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276070140",
            "telephone_number": "304-617-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 EXECUTIVE DR",
            "address_2": "#205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097450",
            "telephone_number": "919-322-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEN",
        "first_name": "KELLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "16855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.