Organization Active NPI

Millan Physical Therapy Rehabilitation, P.C.

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1841331543
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003366-1 Issued in NY
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

Updated by the provider on Jul 7, 2015

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.NPI 1619165404
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
46651OtherNYMULTIPLAN INS
0020964OtherNYGHI INS
Q0633Q5JK1OtherNYCHARLES MILLAN
Q5194Q5JK1OtherNYANNE ORLOSKI
17935POtherNYHIP INS
OS183OtherNYOXFORD INS
OS184OtherNYOXFORD INS
0027601OtherNYCIGNA, HEALTHNET, AETNA
17952POtherNYHIP INS
N121364OtherNY1199 INS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.