Active NPI
Millan Physical Therapy Rehabilitation, P.C.
- Physical Therapist
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003366-1
- Legal business name
- MILLAN PHYSICAL THERAPY REHABILITATION, P.C.
- Practice address
- 390 Manor Rd
Staten Island, NY 10314-2957 - Phone
- (718) 494-8595
- Fax
- (718) 494-0191
- NPI assigned
- Feb 8, 2007
- 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
- Mr. Charles Anthony Millan, MS, P.T.
- Title
- President
- Phone
- (718) 494-8595
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 Therapist | 225100000X | 003366-1 | NY | Primary |
Addresses
Primary practice location
390 Manor Rd
Staten Island, NY 10314-2957
Mailing address
390 Manor Rd
Staten Island, NY 10314-2957
Phone (718) 494-8595
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46651 | Other | NY | MULTIPLAN INS |
| 0020964 | Other | NY | GHI INS |
| Q0633Q5JK1 | Other | NY | CHARLES MILLAN |
| Q5194Q5JK1 | Other | NY | ANNE ORLOSKI |
| 17935P | Other | NY | HIP INS |
| OS183 | Other | NY | OXFORD INS |
| OS184 | Other | NY | OXFORD INS |
| 0027601 | Other | NY | CIGNA, HEALTHNET, AETNA |
| 17952P | Other | NY | HIP INS |
| N121364 | Other | NY | 1199 INS |
National Provider Directory
National Provider DirectoryLocations
390 Manor Rd
Staten Island, NY 10314
Phone (718) 494-8595
774 Manor Rd
Ste 209
Staten Island, NY 10314
Phone (718) 494-8595
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Staten Island, NY
- NPI 1619165404
-
- Physical Therapist
- Staten Island, NY
- NPI 1699963488
-
- Physical Therapist
- Staten Island, NY
- NPI 1265759369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1841331543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 MANOR RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103142957",
"telephone_number": "718-494-8595",
"fax_number": "718-494-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MANOR RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103142957",
"telephone_number": "718-494-8595",
"fax_number": "718-494-0191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLAN PHYSICAL THERAPY REHABILITATION, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "MILLAN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-494-8595",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "003366-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN INS",
"identifier": "46651",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI INS",
"identifier": "0020964",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHARLES MILLAN",
"identifier": "Q0633Q5JK1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANNE ORLOSKI",
"identifier": "Q5194Q5JK1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP INS",
"identifier": "17935P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INS",
"identifier": "OS183",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INS",
"identifier": "OS184",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA, HEALTHNET, AETNA",
"identifier": "0027601",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP INS",
"identifier": "17952P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 INS",
"identifier": "N121364",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.