MITCHELL L. MCMILLAN (M.S.P.T.) – Physical Therapist, NPI 1376643320

MITCHELL L. MCMILLAN (M.S.P.T.) is a healthcare provider. based in Harrison, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials M.S.P.T.. They hold a License No. 5501010129 (MI). The NPI Number for MITCHELL L. MCMILLAN (M.S.P.T.) is 1376643320

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL L. MCMILLAN (M.S.P.T.)
NPI
1376643320
Phone
(989) 539-4167
Address
158 N 1ST ST
Enumeration Date
22 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9895394167
Graduation Year
1999 (27 years ago)
PAC ID
6901869015
Group Practice PAC ID
7618074220
Professional Enrollment ID
I20041110000111
Address ID
MI486252520HA158XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MITCHELL L. MCMILLAN (M.S.P.T.)

  • 158, North 1st Street, Glen Elk, Clarksburg, Harrison County, West Virginia, 26301, United States

    SUITE D

    HARRISON, MI 48625

    Phone: (989) 539-4167

    Fax: (989) 539-4436

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041110000111IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,50365$0
97530Therapy procedure using functional activities75253$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29129$0
97016Application of blood vessel compression device25924$0
97140Therapy procedure using manual technique, each 15 minutes13222$0
View full utilization report →

Insurance plans in this area (ZIP 48625)

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Provider's Procedures

MITCHELL L. MCMILLAN (M.S.P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes68398
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes12535
PHYSICAL THERAPYMI97535Self-care or home management training, each 15 minutes7572

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618074220View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-WI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Where can patients find MITCHELL L. MCMILLAN (M.S.P.T.)'s NPI?
You can confirm MITCHELL L. MCMILLAN (M.S.P.T.) with NPI 1376643320; it appears in the national provider directory.
Is MITCHELL L. MCMILLAN (M.S.P.T.) active in the national directory?
MITCHELL L. MCMILLAN (M.S.P.T.)'s public NPI profile is in an active state.
Does MITCHELL L. MCMILLAN (M.S.P.T.) list a primary specialty?
If you are matching referrals, note Physical Therapist for MITCHELL L. MCMILLAN (M.S.P.T.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MITCHELL L. MCMILLAN (M.S.P.T.)?
The page summarizes Harrison, Michigan for MITCHELL L. MCMILLAN (M.S.P.T.); expand the address list for detail.
How can I contact MITCHELL L. MCMILLAN (M.S.P.T.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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