CORY ELIZABETH MCMILLEN (NPI# 1033611769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033611769 |
| Entity Type | Individual |
| Full Name | CORY ELIZABETH MCMILLEN |
| Credential | MS,LAT,ATC |
| Practice Address |
20 N Newtown Street Rd Newtown Square PA 19073-2319 |
| Mailing Address |
15 Kingswood Dr New Hope PA 18938-2213 |
| Practice Telephone | 4844202680 |
| Mailing Telephone | 2154996177 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT2005957 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ATHLETIC TRAINING BOARD OF CERTIFICATION | 2000018197 | 01 | |
| PA | PENNSYLVANIA STATE BOARD OF MEDICINE | RT005957 | 01 |
| Street Address |
20 N NEWTOWN STREET RD |
| City | NEWTOWN SQUARE |
| State | PA |
| Zip Code | 19073-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235104142 | Philip Beninato | Physical Therapist | 20 N Newtown Street Rd, Suite 200, Newtown Square, PA 19073-2319 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434711 | Design Meets Mind, LLC | Clinic/Center | 18 Campus Blvd. Suite 100, Newtown Square, PA 19073 | 2020-07-20 |
| 1437649985 | Main Line Health Integrative and Functional Medicine Services | Clinic/Center | 3803 W Chester Pike Ste 160, Newtown Square, PA 19073 | 2018-05-10 |
| 1013345727 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 4891 West Chester Pike, Newtown Square, PA 19073 | 2013-10-16 |
| 1275879967 | Preethi Alexander | Nurse Practitioner | 3930 West Chester, Pike Minute Clinic, Newtown Square, PA 19073 | 2012-12-27 |
| 1467745810 | Brittany Marie Brooks | Student in an Organized Health Care Education/Training Program | 3500 West Chester Pike, Newtowne Square, PA 19073 | 2011-05-18 |
| 1598066284 | Samuel Disston Allen Jr. | Urology | 523 Guinevere Dr, New Town Square, PA 19073 | 2010-11-11 |
| 1700102688 | Robert Francis Rogers | Pathology | 3805 W Chester Pike Ste 120, Newtown Square, PA 19073 | 2010-04-16 |
| 1184850521 | Mary M Powell | General Practice | 3508 Tyson Rd., Newtown Sq, PA 19073 | 2009-05-29 |
| 1386888121 | Sean Christopher Flynn | Internal Medicine | 4651 W Chester Pike Ste 200, Newtown Square, PA 19073 | 2009-04-23 |
| 1801031331 | Linda Jane Bonsall | Psychologist | 2 Bishop Hollow Road, Newtown Square, PA 19073 | 2008-12-12 |
| Find all providers in zip 19073 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457835605 | Tyler Anhalt | Specialist/Technologist | 120 Media Line Rd, Newtown Square, PA 19073-4614 | 2018-09-23 |
| 1225445356 | Jaye Tyler Mitchell | Specialist/Technologist | 3427 Tyson Rd, Newtown Square, PA 19073-3421 | 2014-07-21 |
| 1922420033 | Catherine Holt | Specialist/Technologist | 1785 Bishop White Dr, Newtown Square, PA 19073-1300 | 2014-01-08 |
| 1417436338 | Jenna L Cades | Specialist/Technologist | 20 N Newtown Street Rd Ste 200, Newtown Square, PA 19073-2319 | 2018-08-10 |
| 1336549815 | Jenniffer Zepp | Specialist/Technologist | 3855 W Chester Pike, Suite 340, Newtown Square, PA 19073-2304 | 2014-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | NEWTOWN SQUARE |
| Zip Code | 19073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.