Individual provider Active NPI

Danielle N Miles, PTA

  • Occupational Therapist
  • Buffalo, NY
National Provider Identifier
1003002619
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
021936 Issued in NY
Practice address
383 Goodyear Ave
Buffalo, NY 14211-2311
Phone
(716) 426-8576
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 005991 NY
Occupational Therapist 225X00000X 021936 NY Primary

Addresses

Primary practice location

383 Goodyear Ave
Buffalo, NY 14211-2311

Mailing address

383 Goodyear Ave
Buffalo, NY 14211-2311
Phone (716) 426-8576

Other names 1

  • Dr. Danielle Nicole Miles Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

170 Murray St
Auburn, NY 13021-1335
Phone (718) 627-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005991NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miles Compassionate Occupational Therapy, PLLC Occupational Therapist CurrentSince Sep 29, 2024 Accepting new patients
Miles Compassionate Occupational Therapy, PLLC Occupational Therapist CurrentSince Jun 2, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1003002619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 GOODYEAR AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112311",
            "telephone_number": "716-426-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 GOODYEAR AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142112311",
            "telephone_number": "716-426-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "DANIELLE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005991",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MILES",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.