Millennium Medical Group West P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MILLENNIUM MEDICAL GROUP WEST P.C.

Doing business as

millennium west physical therapy

Practice address

38807 Ann Arbor Rd Ste 7
Livonia, MI 48150-3896

Phone

(734) 462-2700

NPI assigned

Feb 23, 2007

Last updated

May 19, 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

Luanne Neely

Title

Medical

Phone

(734) 462-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• millennium west physical therapy Doing business as

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1629103197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 7",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD STE 7",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "734-462-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL GROUP WEST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "LUANNE",
        "authorized_official_title_or_position": "MEDICAL",
        "authorized_official_telephone_number": "734-462-2700"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30783",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "millennium west physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dejone Miles
• Karla Miles
• Lori Ann Miles, MA, LPC
• Mili Shah MD PC
• Millennium Medical Group
• Andrea Miller
• Anthony Miller, LLMSW
• Brittany J Miller, PA-C
• Carmelita Marie Miller
• Chivonn Miller

• Physical Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Therapist in Michigan

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