Magnolia Dela Cruz Mills, PT, MPT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

38795 Issued in CA

Practice address

200 Lowell CT
Danville, CA 94526-5464

Phone

(915) 920-6883

NPI assigned

Dec 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Buddy & Bear Physical Therapy, Inc.

  • Pediatric Physical Therapist
  • Danville, CA
  • NPI 1962190413

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1700155967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3494 CAMINO TASSAJARA # 1016",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064680",
            "telephone_number": "925-272-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOWELL CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945265464",
            "telephone_number": "915-920-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MAGNOLIA",
        "middle_name": "DELA CRUZ",
        "credential": "PT, MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1212076",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "38795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "magnolia@buddyandbearpt.com",
            "affiliation": "N",
            "address_1": "200 Lowell Ct",
            "city": "Danville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945265464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathalie Michaud, M.D.
• Karthik Mikkineni, MD
• Juliann E Miletich
• Colleen Heather Millen, LMFT
• Jeffrey Miller, D.C.
• Cheryl Ann Minton, MFT
• Jasmine Fay Miranda
• Robert Anthony Miranda, D.M.D.
• Helen Mirsaeidifarahani, OTR/L, OTD
• Naimatul Mehvish Mirza, DMD

• Pediatric Physical Therapist in Danville, CA
• Providers in Danville, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.