MILLENNIUM REHAB & CONSULTING, INC. (NPI# 1336193986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336193986 |
Entity Type | Organization |
Organization Name | MILLENNIUM REHAB & CONSULTING, INC. |
Other Organization Name | MILLENNIUM THERAPY |
Practice Address |
2300 Swan Lake Blvd Suite 103 Independence IA 50644-9708 |
Mailing Address |
4725 Merle Hay Rd Ste 207 Des Moines IA 50322-1983 |
Practice Telephone | 3193345155 |
Practice Fax Number | 3193346166 |
Mailing Telephone | 5153313190 |
Mailing Fax Number | 5153313191 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2019-08-27 |
Authorized Official Name | TAMMY LYNN CHAPMAN (BILLING SUPERVISOR) |
Authorized Official Telephone | 5153313190 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | WELLMARK BC/BS GROUP # | 66574 | 01 |
IA | 0665802 | 05 |
Other Name | Type Code |
---|---|
Millennium Therapy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255385852 | Millennium Rehab & Consulting, Inc. | Clinic/Center | 4725 Merle Hay Rd, Suite 101, Des Moines, IA 50322-1983 | 2006-05-19 |
1033349253 | Millennium Rehab & Consulting, Inc. | Clinic/Center | 5260 Northwest Blvd, Suite 2, Davenport, IA 52806-2463 | 2009-07-22 |
1376597708 | Millennium Rehab & Consulting, Inc. | Occupational Therapy Assistant | 2700 1st Ave S, Suite 200, Fort Dodge, IA 50501-4300 | 2006-05-20 |
Street Address |
2300 SWAN LAKE BLVD SUITE 103 |
City | INDEPENDENCE |
State | IA |
Zip Code | 50644-9708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902384639 | Willow Strength Family Therapy, LLC | Social Worker | 2300 Swan Lake Blvd, Suite 102, Independence, IA 50644-5064 | 2018-08-03 |
1831560507 | Sydney Mueller | Physical Therapist | 2300 Swan Lake Blvd, Suite 103, Independence, IA 50644-9707 | 2015-10-07 |
1730557208 | Katelyn Beres | Occupational Therapist | 2300 Swan Lake Blvd, Independence, IA 50644-9707 | 2015-09-14 |
1871974097 | Kristin Henry | Physical Therapist | 2300 Swan Lake Blvd, Ste 103, Independence, IA 50644-9707 | 2015-06-12 |
1215329024 | Theresa Johnson | Occupational Therapist | 2300 Swan Lake Blvd, Independence, IA 50644-9707 | 2015-03-03 |
1982034500 | Jennifer Kemps | Speech-Language Pathologist | 2300 Swan Lake Blvd, Independence, IA 50644-9707 | 2013-11-18 |
1548608201 | Michelle Rottinghaus | Speech-Language Pathologist | 2300 Swan Lake Blvd, Suite #103, Independence, IA 50644-9707 | 2013-06-04 |
1720338577 | Kerianne Schmidt | Physical Therapist | 2300 Swan Lake Blvd, Independence, IA 50644-9707 | 2012-09-19 |
1083993612 | Dianne Vogel | Physical Therapist | 2300 Swan Lake Blvd, Suite 103, Independence, IA 50644-9707 | 2011-08-13 |
1255631859 | Jeremy Christopher Moses | Specialist | 2300 Swan Lake Blvd, Suite 103, Independence, IA 50644-9707 | 2010-10-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205476959 | Diane Meyer | Occupational Therapist | 230 Swan Lake Blvd, Suite 103, Independence, IA 50644 | 2020-01-10 |
1538717988 | Kathy Ann Allsup | Technician | 2617 Quasqueton Diag Blvd. #4, Independence, IA 50644 | 2019-08-29 |
1619182219 | Robert Thomas Kingus | Optometrist | 1310 1st St West, Independence, IA 50644 | 2007-05-14 |
1477646966 | Matthew Patrick Fuelling | Chiropractor | 231 2nd Ave N.e., Independence, IA 50644 | 2006-10-02 |
1104889609 | Sharla Kaye Wall | Chiropractor | 701 2nd Ave Ne, Independence, IA 50644 | 2006-04-07 |
1174053821 | Megan Rose Trembly | Speech-Language Pathologist | 1610 3rd St Ne, Independence, IA 50644 | 2017-06-15 |
1710432786 | Lauren Oldag | Social Worker | 2300 Swan Lake Blvd Ste 102, Independence, IA 50644 | 2016-08-19 |
1255781068 | Bradley Boyle | Optometrist | 1310 1st St W, Independence, IA 50644 | 2016-06-13 |
1528372968 | Thomas William Magner | Counselor | 417 5th St Nw, Independence, IA 50644-1554 | 2010-07-27 |
1093019796 | Linda Lee Moore | Community Health Worker | 1717 3rd St. N.e., Independence, IA 50644-1717 | 2011-01-10 |
Find all providers in zip 50644 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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Find all providers with the same taxonomy |
City | INDEPENDENCE |
Zip Code | 50644 |
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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.