Individual provider Active NPI

Robert Millward

  • Physical Therapist
  • Sierra Vista, AZ
National Provider Identifier
1336008689
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-034623 Issued in AZ
Practice address
200 E Wilcox Dr
Sierra Vista, AZ 85635-2526
Phone
(520) 459-1386
NPI assigned
Jan 21, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 LPT-034623 AZ Primary

Addresses

Primary practice location

200 E Wilcox Dr
Sierra Vista, AZ 85635-2526

Mailing address

200 E Wilcox Dr
Sierra Vista, AZ 85635-2526
Phone (520) 459-1386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303000838 AZ Practitioner - Physical Therapist in Private Practice 4385126150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 S 2ND St
Sierra Vista, AZ 85635-2519

200 E Wilcox Dr
Sierra Vista, AZ 85635-2526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-034623AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainey Pain & Performance, P.C. CurrentSince Jun 2, 2016 Accepting new patients
Champion Speech & Language Therapy LLC PastSince Apr 3, 2021 Accepting new patients

Locations

200 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 459-1386

125 S 2nd St
Sierra Vista, AZ 85635
Phone (520) 459-1386

Organizations & group practices 2

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": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1336008689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352526",
            "telephone_number": "520-459-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352526",
            "telephone_number": "520-459-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLWARD",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.