Active NPI
Millake Wellness & Physical Therapy LLC
- Physical Therapy Clinic/Center
- Greenacres, FL
National Provider Identifier
1811358294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- ME0047706
- Legal business name
- MILLAKE WELLNESS & PHYSICAL THERAPY LLC
- Practice address
- 4849 Lake Worth Rd
Suite 203
Greenacres, FL 33463-3461 - Phone
- (561) 433-4446
- Fax
- (561) 433-3026
- NPI assigned
- Mar 14, 2016
- Last updated
- Mar 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Abellard, MD
- Title
- Physician
- Phone
- (561) 433-4446
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | ME0047706 | FL | Primary |
Addresses
Primary practice location
4849 Lake Worth Rd
Suite 203
Greenacres, FL 33463-3461
Mailing address
4849 Lake Worth Rd
Suite 203
Greenacres, FL 33463-3461
Phone (561) 433-4446
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Greenacres, FL
- NPI 1083698401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457913600000",
"number": "1811358294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4849 LAKE WORTH RD",
"address_2": "SUITE 203",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633461",
"telephone_number": "561-433-4446",
"fax_number": "561-433-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 LAKE WORTH RD",
"address_2": "SUITE 203",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633461",
"telephone_number": "561-433-4446",
"fax_number": "561-433-3026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLAKE WELLNESS & PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-14",
"last_updated": "2016-03-14",
"status": "A",
"authorized_official_last_name": "ABELLARD",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "561-433-4446",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "ME0047706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.