Mitchell L. McMillan, M.S.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010129 Issued in MI

Practice address

158 N 1St St
Suite D
Harrison, MI 48625

Phone

(989) 539-4167

Fax

(989) 539-4436

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Physical Therapy Limited PartnershipGroup PAC ID 7618074220, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Clare, MI
  • NPI 1295740637
  Medicare reassignment Care Compare group NPD
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Bay City, MI
  • NPI 1154647659
  NPD
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Midland, MI
  • NPI 1033122718
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376643320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 N 1ST ST",
            "address_2": "SUITE D",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "48625",
            "telephone_number": "989-539-4167",
            "fax_number": "989-539-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 N 1ST ST",
            "address_2": "SUITE D",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "48625",
            "telephone_number": "989-539-4167",
            "fax_number": "989-539-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "MITCHELL",
        "middle_name": "L.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Long
• Deanna Lee Losey
• Maclean Pharmacy, Inc. (Mac Lean Pharmacy)
• Maureen M Gierucki DDS PLLC (Dr Maureen Gierucki)
• Stephen C McClintic, OD
• Mid-Michigan Recovery Center
• Midmichigan Health Services (Harrison School Based Health Center)
• Michael Gene Mikolaizyk, RPH
• Mariah K Moore
• Mymichigan Medical Center Clare (MyMichigan Family Medicine)

• Physical Therapist in Harrison, MI
• Providers in Harrison, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.