Active NPI
Kristin Jane Millay, PT
- Physical Therapist
- Evansville, IN
National Provider Identifier
1437486594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009094A
- Practice address
- 1501-1701 McDowell Rd
Evansville, IN 47712 - Phone
- (812) 985-0051
- NPI assigned
- Nov 11, 2009
- Last updated
- May 24, 2022
- Sex
- Female
- 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 | 05009094A | IN | Primary |
Addresses
Primary practice location
1501-1701 McDowell Rd
Evansville, IN 47712
Mailing address
5420 Ford Rd N
Mount Vernon, IN 47620-7311
Phone (812) 470-0825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009094A | IN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1437486594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 FORD RD N",
"city": "MOUNT VERNON",
"state": "IN",
"postal_code": "476207311",
"telephone_number": "812-470-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501-1701 MCDOWELL RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "47712",
"telephone_number": "812-985-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLAY",
"first_name": "KRISTIN",
"middle_name": "JANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009094A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.