Individual provider Active NPI

Millecent Hope Quinain

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1356884761
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
041047 Issued in NY
Practice address
11949 Union Tpke Apt 12F
Forest Hills, NY 11375-6108
Phone
(224) 386-5423
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 041047 NY Primary

Addresses

Primary practice location

11949 Union Tpke Apt 12F
Forest Hills, NY 11375-6108

Mailing address

11949 Union Tpke Apt 12F
Forest Hills, NY 11375-6108
Phone (224) 386-5423

Other practice location 1

21291 W Shady Ln
Lake Zurich, IL 60047-8717
Phone (847) 438-4130

Other practice location 2

2946 Fulton St
Brooklyn, NY 11207-2724
Phone (224) 386-5423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180320001712 NY Practitioner - Physical Therapist in Private Practice 3971865510 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041047NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Mar 17, 2021 Accepting new patients
New York Medical & Diagnostic Center Inc Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
First Class Physical Therapy, P.C. Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients

Locations

111 N 7th St
Brooklyn, NY 11249
Phone (718) 384-4002

695 Stanley Ave
Brooklyn, NY 11207
Phone (347) 915-0791

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000

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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1356884761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11949 UNION TPKE APT 12F",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756108",
            "telephone_number": "224-386-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 UNION TPKE APT 12F",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756108",
            "telephone_number": "224-386-5423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21291 W Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600478717",
            "country_code": "US",
            "telephone_number": "847-438-4130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2946 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072724",
            "country_code": "US",
            "telephone_number": "224-386-5423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINAIN",
        "first_name": "MILLECENT HOPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.