Individual provider Active NPI

Millie B Ware

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1396134920
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006389 Issued in KY
Practice address
4020 Taylorsville Rd
Ste 7
Louisville, KY 40220-1569
Phone
(502) 479-2552
Fax
(502) 479-2539
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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 006389 KY Primary

Addresses

Primary practice location

4020 Taylorsville Rd
Ste 7
Louisville, KY 40220-1569

Mailing address

4020 Taylorsville Rd
Ste 7
Louisville, KY 40220-1569
Phone (502) 479-2552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150306002283 KY Practitioner - Physical Therapist in Private Practice 9830415983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

160 Frankfort Rd
Shelbyville, KY 40065-9433
Phone (502) 257-8452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006389KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Jun 22, 2020 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Jun 22, 2020 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients

Locations

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

160 Frankfort Rd
Shelbyville, KY 40065
Phone (502) 257-8452

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1396134920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 TAYLORSVILLE RD",
            "address_2": "STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201569",
            "telephone_number": "502-479-2552",
            "fax_number": "502-479-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 TAYLORSVILLE RD",
            "address_2": "STE 7",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201569",
            "telephone_number": "502-479-2552",
            "fax_number": "502-479-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "MILLIE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.