Individual provider Active NPI

Brooke Mills, MPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1790815587
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-011481-L Issued in PA
Practice address
9256 Bendix Rd
Ste 105,106
Columbia, MD 21045-1840
Phone
(410) 796-8499
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-011481-L PA Primary

Addresses

Primary practice location

9256 Bendix Rd
Ste 105,106
Columbia, MD 21045-1840

Mailing address

PO Box 1343
Clarkston, MI 48347-1343
Phone (410) 796-8499

Other identifiers 1

IdentifierTypeStateIssuer
0019331860001MedicaidPA

Other names 1

  • Brooke Junkin-Mills Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT-011481-LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginning Pediatric Rehab Inc Past Accepting new patients
New Beginning Pediatric Rehab, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brooke.mills.p3@direct.mcg-hhs.nextgenshare.com
  • Direct secure messaging: brooke.mills.p1@direct.mcg-hhs.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1790815587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483471343",
            "telephone_number": "410-796-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 BENDIX RD",
            "address_2": "STE 105,106",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451840",
            "telephone_number": "410-796-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BROOKE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-011481-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019331860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "JUNKIN-MILLS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.