Active NPI
David L Mills, MPT
- Physical Therapist
- Apex, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P11339
- Practice address
- 1051 Pemberton Hill Rd
Suite 201
Apex, NC 27502-4267 - Phone
- (919) 363-3640
- Fax
- (919) 363-3642
- NPI assigned
- Jan 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009531 | GA | |
| Physical Therapist | 225100000X | P11339 | NC | Primary |
Addresses
Primary practice location
1051 Pemberton Hill Rd
Suite 201
Apex, NC 27502-4267
Mailing address
981 High House Rd
Suite 100
Cary, NC 27513-3510
Phone (919) 388-0111
Other practice location 1
1481 Kelly Rd
Apex, NC 27502-9572
Phone (919) 296-8180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 N Davidson St
Suite C
Charlotte, NC 28205-1828
Phone (980) 556-7780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009531 | GA | MD | Physical Therapist |
| P11339 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
2100 N Davidson St
Ste C
Charlotte, NC 28205
Phone (980) 556-7780
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
1878 N Broad St
Fuquay Varina, NC 27526
Phone (919) 805-3103
100 Fitness Dr
Fuquay Varina, NC 27526
Phone (919) 557-3100
500 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 258-2200
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1861638272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 HIGH HOUSE RD",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275133510",
"telephone_number": "919-388-0111",
"fax_number": "919-388-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 PEMBERTON HILL RD",
"address_2": "SUITE 201",
"city": "APEX",
"state": "NC",
"postal_code": "275024267",
"telephone_number": "919-363-3640",
"fax_number": "919-363-3642"
}
],
"practiceLocations": [
{
"address_1": "1481 Kelly Rd",
"address_purpose": "LOCATION",
"city": "Apex",
"state": "NC",
"postal_code": "275029572",
"country_code": "US",
"telephone_number": "919-296-8180",
"fax_number": "919-296-8112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-07",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009531",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P11339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.