Active NPI
Laurie Jean Mills, PT, DPT
- Physical Therapist
- Fulton, NY
National Provider Identifier
1740644640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0092277-1
- Practice address
- 7 Morrill PL
Fulton, NY 13069-1530 - Phone
- (315) 363-3389
- Fax
- (315) 363-9286
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0092277-1 | NY | Primary |
Addresses
Primary practice location
7 Morrill PL
Fulton, NY 13069-1530
Mailing address
701 Lenox Ave
Oneida, NY 13421-1500
Phone (315) 363-9281
Other names 1
- Miss Laurie Jean Dashnau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160506001717 | NY | Practitioner - Physical Therapist in Private Practice | 5597064899 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nysarc Inc. Onondaga County Chapter
Practice addresses (Care Compare)
600 S Wilbur Ave
Syracuse, NY 13204-2730
Phone (315) 476-7441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0092277-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc. Onondaga County Chapter | Current | Accepting new patients | |
| Madison Cortland Chapter, Nysarc, Inc | Past | Accepting new patients |
Locations
600 S Wilbur Ave
Syracuse, NY 13204
Phone (315) 476-7441
Organizations & group practices 2
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.
-
- Developmental Disabilities Clinic/Center
- Syracuse, NY
- NPI 1043397490
NY
-
- Early Intervention Provider Agency
- Oneida, NY
- NPI 1336454586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1740644640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 LENOX AVE",
"city": "ONEIDA",
"state": "NY",
"postal_code": "134211500",
"telephone_number": "315-363-9281",
"fax_number": "315-363-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 MORRILL PL",
"city": "FULTON",
"state": "NY",
"postal_code": "130691530",
"telephone_number": "315-363-3389",
"fax_number": "315-363-9286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "LAURIE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0092277-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "DASHNAU",
"middle_name": "JEAN",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.