Sean Anthony Miller, PHYS THERAPIST ASST
Individual provider Active NPI Physical Therapy Assistant · Milwaukie, OR
NPI 1003960733 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003960733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- AT3695 (CA)
- Practice address
- 4560 SE International Way
Consonus Rehab Services
Milwaukie, OR 97222 - Phone
- (971) 206-5140
- Fax
- (971) 206-5209
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT3695 | CA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT3695 | CA | Yes |
Addresses
Primary practice location
4560 SE International Way
Consonus Rehab Services
Milwaukie, OR 97222
Mailing address
4560 SE International Way
Milwaukie, OR 97222
Phone (971) 206-5140
Other providers in Milwaukie, OR
- Milestones Therapeutics, LLC
- Kristin Milio
- Charles A. Miller III
- Jill Noelle Miller
- Pamela M Miller
- Milwaukie Chiropractic & Massage Clinic, PC
- Milwaukie Chiropractic Center
- Milwaukie Convalescent Hospital Inc
- Milwaukie Emergency Dentist LLC
- Milwaukie Orthopedic Service Inc
All providers in Milwaukie, OR · Physical Therapy Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.