Millennium Rehab of Arkansas LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MILLENNIUM REHAB OF ARKANSAS LLC

Practice address

810 Joe Brooks Dr
Jonesboro, AR 72401-4133

Phone

(870) 931-6789

Fax

(870) 931-4363

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sy Niksefat

Title

Member

Phone

(870) 931-6789

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1659437945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JOE BROOKS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014133",
            "telephone_number": "870-931-6789",
            "fax_number": "870-931-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 JOE BROOKS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014133",
            "telephone_number": "870-931-6789",
            "fax_number": "870-931-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM REHAB OF ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "NIKSEFAT",
        "authorized_official_first_name": "SY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "870-931-6789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Middlebrook
• Denise Middlebrook
• Cole David Milam, MD
• Emmett Paul Milam, M.C.D., CCC-SLP
• Tina Milam, RNP
• Millennium Rehab, Inc.
• Alvin Miller, MHPP
• Ashtyn Blair Miller
• Carl David Miller
• Carlotta Miller

• Physical Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.