Active NPI
Daniel Millar, PT, DPT
- Pediatric Physical Therapist
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT61389435
- Practice address
- 10811 SE Kent Kangley Rd
Kent, WA 98030-7108 - Phone
- (253) 854-5660
- Fax
- (253) 854-7025
- NPI assigned
- Feb 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 300182 | CA | |
| Pediatric Physical Therapist | 2251P0200X | PT61389435 | WA | Primary |
| Pediatric Physical Therapist | 2251P0200X | 1315122 | TX |
Addresses
Primary practice location
10811 SE Kent Kangley Rd
Kent, WA 98030-7108
Mailing address
10811 SE Kent Kangley Rd
Kent, WA 98030-7108
Phone (253) 854-5660
Other practice location 1
810 Lawrence Dr Ste 100
Newbury Park, CA 91320-6615
Phone (805) 667-8200
Other practice location 2
1857 Knoll Dr
Ventura, CA 93003-7321
Phone (805) 667-8200
Other practice location 3
10839 Quarry Park
San Antonio, TX 78233-4681
Phone (844) 206-4512
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
| License | State | Type | Specialty |
|---|---|---|---|
| 300182 | CA | MD | Pediatric Physical Therapist |
| 1315122 | TX | MD | Pediatric Physical Therapist |
| PT61389435 | WA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Therapy Network, Inc. | Pediatrics | Current | Accepting new patients |
Locations
810 Lawrence Dr
Ste 100
Newbury Park, CA 91320
Phone (805) 273-3870
1857 Knoll Dr
Ventura, CA 93003
Phone (805) 667-8200
Organizations & group practices 1
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": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1316403074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10811 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307108",
"telephone_number": "253-854-5660",
"fax_number": "253-854-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10811 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307108",
"telephone_number": "253-854-5660",
"fax_number": "253-854-7025"
}
],
"practiceLocations": [
{
"address_1": "810 Lawrence Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Newbury Park",
"state": "CA",
"postal_code": "913206615",
"country_code": "US",
"telephone_number": "805-667-8200",
"fax_number": "805-667-8201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1857 Knoll Dr",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930037321",
"country_code": "US",
"telephone_number": "805-667-8200",
"fax_number": "805-667-8201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10839 Quarry Park",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782334681",
"country_code": "US",
"telephone_number": "844-206-4512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLAR",
"first_name": "DANIEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-18",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "300182",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WA",
"license": "PT61389435",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1315122",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.