Active NPI
Luis Enrique Millan, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1497068183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25691
- Practice address
- 1350 13TH Ave S
Jacksonville, FL 32250-3203 - Phone
- (904) 627-2900
- NPI assigned
- Jul 22, 2010
- 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 | PT25691 | FL | Primary |
Addresses
Primary practice location
1350 13TH Ave S
Jacksonville, FL 32250-3203
Mailing address
1350 13TH Ave S
Jacksonville, FL 32250-3203
Phone (904) 627-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1219 Main St
Thompson Falls, MT 59873-9355
Phone (406) 303-1315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anadarko Indian Health Center | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Aspire Physical Therapy PLLC | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Thompson Falls, MT
- NPI 1003343732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1497068183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 13TH AVE S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322503203",
"telephone_number": "904-627-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 13TH AVE S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322503203",
"telephone_number": "904-627-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLAN",
"first_name": "LUIS",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.