Isaac Rafe Mills, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A02396 Issued in KY

Practice address

270 Bacon Creek Rd
Corbin, KY 40701-8640

Phone

(606) 528-8822

NPI assigned

Jan 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1891456901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 PATRICIA LN",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014384",
            "telephone_number": "606-521-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BACON CREEK RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018640",
            "telephone_number": "606-528-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "ISAAC",
        "middle_name": "RAFE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "A02396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Dixon Mills, PHARMD
• Charity Mills
• Chris William Mills, BA, TCADC
• Dalton T Mills
• Donna Mills
• Karah Mills
• Loretta L Mills, MA
• McKenzie Mills
• Michael C Mills, MA, CPP
• Neysa Rachelle Mills

• Physical Medicine & Rehabilitation Physician in Corbin, KY
• Providers in Corbin, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.