Marie Louise Tiosan Millevo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045845 Issued in NY

Practice address

2678 Kingsbridge Ter
Bronx, NY 10463-7471

Phone

(718) 796-5800

NPI assigned

Feb 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062
  Medicare reassignment NPD

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1609521483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN ST APT 740",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440171",
            "telephone_number": "201-682-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2678 KINGSBRIDGE TER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637471",
            "telephone_number": "718-796-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEVO",
        "first_name": "MARIE LOUISE",
        "middle_name": "TIOSAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "045845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vera Miller, MD
• Victoria Miller, NP
• Victoria G Miller
• Yair N Miller, MD
• Mavis Frances Millet-Terry, RN
• Pauline Angela Millington
• Ricardo Martelli Millis, NP
• Lisa Margaret Millman, MD
• Vincenza F Millocca, M.S. CCC-SLP
• Carol Virginia Mills Kamara, LCSW

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.