Individual provider Active NPI

Reed McMillan

  • Physical Therapist
  • Costa Mesa, CA
National Provider Identifier
1346979507
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302177 Issued in CA
Practice address
2790 Harbor Blvd Ste 300
Costa Mesa, CA 92626-5157
Phone
(714) 485-7642
NPI assigned
Jun 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 302177 CA Primary

Addresses

Primary practice location

2790 Harbor Blvd Ste 300
Costa Mesa, CA 92626-5157

Mailing address

10540 Talbert Ave Ste 250W
Fountain Valley, CA 92708-6045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920000941 CA Practitioner - Physical Therapist in Private Practice 6305221888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Health Works Physical Therapy IncGroup PAC ID 3274787668, 4 clinicians

Practice addresses (Care Compare)

2790 Harbor Blvd
Suite 300
Costa Mesa, CA 92626-5157
Phone (714) 427-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302177CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Physical Therapy, Apc Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
HW Physical Therapy Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Health Works Physical Therapy, Inc Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients

Locations

2790 Harbor Blvd
Ste 300
Costa Mesa, CA 92626
Phone (714) 427-0803

250 El Camino Real
Ste 100
Tustin, CA 92780
Phone (714) 485-7642

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": "1654387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1346979507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 TALBERT AVE STE 250W",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HARBOR BLVD STE 300",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265157",
            "telephone_number": "714-485-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "REED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-05",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.