Mitchell Millar, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501302556 Issued in MI

Practice address

2600 N Saginaw Rd Ste C
Midland, MI 48640-2690

Phone

(989) 837-1529

Fax

(989) 837-2499

NPI assigned

Jan 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Physical Therapy Limited PartnershipGroup PAC ID 7618074220, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Clare, MI
  • NPI 1295740637

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Midland, MI
  • NPI 1033122718
  NPD
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Bay City, MI
  • NPI 1154647659
  NPD

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1750828182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SCHOOLCREST AVE",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171145",
            "telephone_number": "989-386-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N SAGINAW RD STE C",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402690",
            "telephone_number": "989-837-1529",
            "fax_number": "989-837-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6162 Hollyberry Ln",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "MI",
            "postal_code": "496909724",
            "country_code": "US",
            "telephone_number": "231-492-4178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "MITCHELL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-24",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "460603799502",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miivrx LLC
• Douglas L Mikols, M.D.
• Laurie D Miles, MS, LLP
• Sophie J Miles, CCC-SLP
• Karen R Miljour, DO
• Megan Millard, OTRL
• Allison Jane Miller
• Angela Miller
• Debra Miller, LMSW
• Lisa Lynette Miller, ARNP, BSN, MN

• All providers in Midland, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.

Verify at the official NPI Registry.