Mill Brook Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1524 Issued in MA

Legal business name

MILL BROOK PHYSICAL THERAPY

Practice address

22 Mill St
Suite 406
Arlington, MA 02476-4784

Phone

(781) 646-8440

Fax

(781) 643-7542

NPI assigned

Jan 26, 2007

Last updated

Dec 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lena Olsson Noonan, PT

Title

Owner

Phone

(781) 961-3370

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1558417238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 406",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "781-961-3370",
            "fax_number": "781-767-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST",
            "address_2": "SUITE 406",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764784",
            "telephone_number": "781-646-8440",
            "fax_number": "781-643-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL BROOK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "OLSSON NOONAN",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-961-3370",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "1524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y65659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wynne Meyer, MA
• Michael F. Fitzpatrick, DMD
• Michael S Garber DMD
• Michael S Garber DMD LLP
• Midwife the Moment, LLC (Midwife the Moment)
• Carolyn Miller, RN
• Daniel Miller, LMT
• Elizabeth Marguerite Miller, LCSW
• Ellen Miller, CCC/SLP
• Paul M Miller, PH.D.

• Physical Therapist in Arlington, MA
• Providers in Arlington, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.