Millennium P.T. and Rehab. P.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

016579-1 Issued in NY

Legal business name

MILLENNIUM P.T. AND REHAB. P.C.

Practice address

4210 Colden St
Apt. 209
Flushing, NY 11355-4845

Phone

(718) 321-8910

Fax

(718) 321-9022

NPI assigned

Oct 22, 2011

Organization subpart

No

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

Authorized official

Name

Andre De Montagnac, P.T.

Title

President

Phone

(718) 321-8910

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1831475805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 COLDEN ST",
            "address_2": "SUITE. 209",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554845",
            "telephone_number": "718-321-8910",
            "fax_number": "718-321-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLDEN ST",
            "address_2": "APT. 209",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554845",
            "telephone_number": "718-321-8910",
            "fax_number": "718-321-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM P.T. AND REHAB. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-22",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "DE MONTAGNAC",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-8910",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "016579-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02285418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Miles, M.S.,R.D.,C.D.E.,CDN
• Mili Kim Physical Therapy PC
• Maricarmen Milian-Perez
• Sanja N/a Miljkovic
• Millennium Medical Healthcare Group PLLC
• Alexandra Sara Miller, RN
• Carlos Antonio Miller, RN
• Daniel Lester Miller
• Jeffrey Daniel Miller, M.D.
• Theresa Miller

• Home Health Agency in Flushing, NY
• Providers in Flushing, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.