Mimms Functional Rehabilitation PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

01059908 Issued in IN

Legal business name

MIMMS FUNCTIONAL REHABILITATION PC

Practice address

755 W Carmel Dr Ste 215
Carmel, IN 46032-5878

Phone

(317) 781-0067

Fax

(317) 791-1242

NPI assigned

Feb 18, 2014

Last updated

Nov 10, 2025By 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

Dr. Anthony Mimms, MDNPI 1952383887

Title

President/Owner

Phone

(317) 781-0067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Mimms, MD

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
  • NPI 1952383887
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1578987152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR STE 215",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325878",
            "telephone_number": "317-781-0067",
            "fax_number": "317-791-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR STE 215",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325878",
            "telephone_number": "317-781-0067",
            "fax_number": "317-791-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMMS FUNCTIONAL REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "MIMMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-781-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01059908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Jester Miller, BCBA
• Victoria Jean Miller, M.D.
• Nathan Lee Milligan
• Sarah M.a. Millikan, M.S., CCC-SLP
• Amanda Mills, COTA
• Mind & Body Healthcare LLC
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• Mindful Harmony Trauma & Wellness, LLC
• Mindful Me, LLC
• Norman Mindrebo, MD

• Physical Medicine & Rehabilitation Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.

Verify at the official NPI Registry.