Individual provider Active NPI

Elizabeth McMillian

  • Physical Therapy Assistant
  • Lake Jackson, TX
National Provider Identifier
1912653767
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2086720 Issued in TX
Practice address
309 Plantation Dr
Lake Jackson, TX 77566-6142
Phone
(979) 418-7165
Fax
(800) 419-5153
NPI assigned
Mar 1, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2086720 TX Primary

Addresses

Primary practice location

309 Plantation Dr
Lake Jackson, TX 77566-6142

Mailing address

309 Plantation Dr
Lake Jackson, TX 77566-6142
Phone (979) 418-7165

Other names 1

  • Liz McMillian Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elucio@businezzhelpers.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2086720TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1912653767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PLANTATION DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666142",
            "telephone_number": "979-418-7165",
            "fax_number": "800-419-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PLANTATION DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666142",
            "telephone_number": "979-418-7165",
            "fax_number": "800-419-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIAN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2086720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elucio@businezzhelpers.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "309 Plantation Dr",
            "city": "Lake Jackson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775666142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "MCMILLIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

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