Active NPI
Katherine McMillan, DPT
- Physical Therapist
- Lincoln, ME
National Provider Identifier
1992420749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6311
- Practice address
- 23 Ella P Burr St
Lincoln, ME 04457-1799 - Phone
- (207) 794-3014
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6311 | ME | Primary |
Addresses
Primary practice location
23 Ella P Burr St
Lincoln, ME 04457-1799
Mailing address
792 Essex St
Bangor, ME 04401-3540
Phone (207) 233-8522
Other practice location 1
991 Hudson Rd
Glenburn, ME 04401-1610
Phone (207) 947-8769
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT6311 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1992420749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 ESSEX ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013540",
"telephone_number": "207-233-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 ELLA P BURR ST",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044571799",
"telephone_number": "207-794-3014"
}
],
"practiceLocations": [
{
"address_1": "991 Hudson Rd",
"address_purpose": "LOCATION",
"city": "Glenburn",
"state": "ME",
"postal_code": "044011610",
"country_code": "US",
"telephone_number": "207-947-8769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLAN",
"first_name": "KATHERINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT6311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.