MRS. TAMARA A MCMILLAN (NPI# 1700366630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700366630 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA A MCMILLAN |
| Credential | DPT |
| Practice Address |
5505 New Copeland Rd Tyler TX 75703-3955 |
| Mailing Address |
157 County Road 3521 Bullard TX 75757-7710 |
| Practice Telephone | 9039392443 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
18975776 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5505 NEW COPELAND RD |
| City | TYLER |
| State | TX |
| Zip Code | 75703-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538372966 | Kimberly Ann Testa | Physical Therapist | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2007-05-08 |
| 1922640879 | Rodney Smiley | Nurse Practitioner | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2019-10-11 |
| 1629550199 | Cathy Marie Wise | Physical Therapy Assistant | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2018-08-31 |
| 1174005607 | Kathryn Hope Johnson | Occupational Therapy Assistant | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2018-08-31 |
| 1720560139 | Stephen Greene | Occupational Therapist | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2018-08-31 |
| 1972085520 | Mary E Henson | Physical Therapy Assistant | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2018-08-30 |
| 1871075440 | Dayna Graves | Occupational Therapy Assistant | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2018-08-30 |
| 1194206987 | Susan Dailey | Occupational Therapy Assistant | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2018-08-28 |
| 1174004329 | Jennifer M Washington | Physical Therapy Assistant | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2018-08-26 |
| 1487135125 | Chona Labrador | Physical Therapist | 5505 New Copeland Rd, Tyler, TX 75703-3955 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568892065 | Prachi Vrajesh Chokshi | Physical Therapist | 930 S Baxter Ave, Tyler, TX 75701-2209 | 2013-11-19 |
| 1134413263 | Rubye J Kendrick | Physical Therapist | 900 S Baxter Ave, Tyler, TX 75701-2209 | 2011-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168045 | John Kurt Keplinger | Physical Therapist | 2905 Yaupon Pl, Amarillo, TX 79124-4959 | 2020-09-10 |
| 1972118800 | Brittney Boggs | Physical Therapist | 4511 Meadow Hawk Dr, Arlington, TX 76005-1259 | 2020-09-08 |
| 1184238446 | Rebekah Quarles | Physical Therapist | 113 Stonegate N, Boerne, TX 78006-3402 | 2020-09-03 |
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1508481136 | Thomas Rebold | Physical Therapist | 1123 Long Hollow Dr, Canyon Lake, TX 78133-2376 | 2020-06-09 |
| 1922622109 | Shawntel Chamberland | Physical Therapist | 313 Windjammer Rd, Gun Barrel City, TX 75156-5726 | 2020-06-03 |
| 1780216168 | Christine M Taylor | Physical Therapist | 3902 Constitution Dr, Lago Vista, TX 78645-7903 | 2020-02-04 |
| 1952945347 | Cyndy Trueblood | Physical Therapist | 10029 Clemente Cir, Austin, TX 78737-1029 | 2019-10-29 |
| 1871051482 | Lucas Zackery Love | Physical Therapist | 15814 Tampke Pl, San Antonio, TX 78247-5914 | 2019-03-04 |
| 1902363328 | Ma. Ester Nightingale | Physical Therapist | 18011 Oakwind Ct, Richmond, TX 77407-8531 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
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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.