Active NPI
Rahsan Demarcus McMillan, PT, DPT
- Physical Therapist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3627 Beatties Ford Rd
Charlotte, NC 28216-3249 - Phone
- (704) 394-6677
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3627 Beatties Ford Rd
Charlotte, NC 28216-3249
Mailing address
642 Northway Dr
Charlotte, NC 28208-2239
Phone (980) 722-4722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Atrium Health Specialty Network Inc | Physical Therapist | Current | Accepting new patients |
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Sports and Spine Physical Therapy NC Inc | Physical Therapist | Past | Accepting new patients |
| Bomray Medical Clinic | Past | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100
1090 NE Gateway Ct NE
Ste 204A
Concord, NC 28025
Phone (704) 403-9100
9726 Sam Furr Rd
Huntersville, NC 28078
Phone (704) 801-3310
1401 Matthews Township Pkwy
Ste 225
Matthews, NC 28105
Phone (704) 841-2104
Organizations & group practices 7
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.
-
- Dermatology Physician
- Charlotte, NC
- NPI 1538975636
Physical Therapist
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Sports Medicine (Family Medicine) Physician
- Huntersville, NC
- NPI 1790024974
-
- Primary Care Clinic/Center
- Charlotte, NC
- NPI 1013974864
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1982651618
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1417418039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 NORTHWAY DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282082239",
"telephone_number": "980-722-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3627 BEATTIES FORD RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282163249",
"telephone_number": "704-394-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "RAHSAN",
"middle_name": "DEMARCUS",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.