Individual provider Active NPI

Henry Paul McMillan, P.T.

  • Physical Therapist
  • Southern Pines, NC
National Provider Identifier
1457529562
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6603 Issued in NC
Practice address
10205 US Highway 15 501 Unit 24
Southern Pines, NC 28387-5180
Phone
(910) 704-5430
Fax
(910) 740-5431
NPI assigned
Feb 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6603 MD
Physical Therapist 225100000X 6603 NC Primary

Addresses

Primary practice location

10205 US Highway 15 501 Unit 24
Southern Pines, NC 28387-5180

Mailing address

10205 US Highway 15 501 Unit 24
Southern Pines, NC 28387-5180
Phone (910) 704-5430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608000666 NC Practitioner - Physical Therapist in Private Practice 1052799780 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, 540 clinicians
Pinehurst Surgical Clinic PAGroup PAC ID 4587561394, 92 clinicians

Practice addresses (Care Compare)

10205 US Hwy 15-510
Suite 24
Southern Pines, NC 28387
Phone (910) 704-5430

205 Pavilion Way
Suite 100
Southern Pines, NC 28387-4565
Phone (910) 295-6831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6603MDMDPhysical Therapist
6603NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Therapy of North Carolina Inc Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 1, 2024 Accepting new patients
Proactive Therapy of North Carolina Inc CurrentSince Oct 1, 2024 Accepting new patients
Elderfit Physical Therapy and Consulting Inc. Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Oct 1, 2024 Accepting new patients
Pinehurst Surgical Clinic PA PastSince Jan 31, 2026 Accepting new patients

Locations

101 SW Cary Pkwy
Ste 10
Cary, NC 27511
Phone (919) 467-7678

10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351

103 Meadowlands Dr
Hillsborough, NC 27278
Phone (919) 614-1923

10205 US 15 501 Hwy
Unit 24
Southern Pines, NC 28387
Phone (910) 704-5430

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

Organizations & group practices 6

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": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1457529562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 US HIGHWAY 15 501 UNIT 24",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875180",
            "telephone_number": "910-704-5430",
            "fax_number": "910-740-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 US HIGHWAY 15 501 UNIT 24",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875180",
            "telephone_number": "910-704-5430",
            "fax_number": "910-740-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "HENRY",
        "middle_name": "PAUL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "6603",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "6603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.