NPIMap

Organization Active NPI

Millbrook Physical Therapy PC

  • Specialist
  • Millbrook, NY
National Provider Identifier
1962709428
Registry record updated May 2, 2011
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MILLBROOK PHYSICAL THERAPY PC
Practice address
2 Front St
Millbrook, NY 12545-5948
Phone
(845) 677-5021
Fax
(845) 677-3117
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
William S Bremiller, MPT
Title
Owner/Director
Phone
(845) 677-5021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2 Front St
Millbrook, NY 12545-5948

Mailing address

2 Front St
PO Box 1464
Millbrook, NY 12545-5948
Phone (845) 677-5021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1962709428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FRONT ST",
            "address_2": "PO BOX 1464",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455948",
            "telephone_number": "845-677-5021",
            "fax_number": "845-677-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FRONT ST",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125455948",
            "telephone_number": "845-677-5021",
            "fax_number": "845-677-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBROOK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "BREMILLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "845-677-5021",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.