Individual provider Active NPI

Benjamin Millay, PT, DPT

  • Physical Therapist
  • Yuma, AZ
National Provider Identifier
1790185601
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11678 Issued in AZ
Practice address
11361 S Foothills Blvd
Yuma, AZ 85367-7742
Phone
(928) 342-7234
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006525 KY
Physical Therapist 225100000X 11678 AZ Primary

Addresses

Primary practice location

11361 S Foothills Blvd
Yuma, AZ 85367-7742

Mailing address

11361 S Foothills Blvd
Yuma, AZ 85367-7742
Phone (928) 342-7234

Other practice location 1

101 Eastside Dr
Georgetown, KY 40324-8763
Phone (502) 867-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210210001715 KY Practitioner - Physical Therapist in Private Practice 9032524749 Reassigns benefits to 1 organization
I20260512001633 FL Practitioner - Physical Therapist in Private Practice 9032524749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next PT Group Florida, LLCGroup PAC ID 3173865607, 43 clinicians

Practice addresses (Care Compare)

17201 SE 109TH Terrace Rd
Summerfield, FL 34491-9019
Phone (775) 367-6937

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11678AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2021 Accepting new patients
The Villages Rehabilitation Services LLC Past Accepting new patients

Locations

2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790185601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 S FOOTHILLS BLVD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677742",
            "telephone_number": "928-342-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 S FOOTHILLS BLVD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853677742",
            "telephone_number": "928-342-7234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Eastside Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403248763",
            "country_code": "US",
            "telephone_number": "502-867-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAY",
        "first_name": "BENJAMIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006525",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.