Corry Lynn Miller, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001003 Issued in WV

Practice address

70 Prospect Ave
Charles Town, WV 25414-1170

Phone

(304) 724-1101

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013034107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GENERAL MCCLELLAN CT",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254253124",
            "telephone_number": "304-724-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PROSPECT AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141170",
            "telephone_number": "304-724-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CORRY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601557",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Megonigal, LPTA
• Nicole Marie Mello
• Lisa B Mewshaw, MS, OTR/L
• Julissa Meza-Lopez
• Kalika Miller Pitcher, PA-C
• Steven C. Miniberg, LPC
• Veneranda Miranda
• Alicia Mongold
• Anne Victoria Monson, CPM
• Kathleen M Moore, PTA

• Physical Therapy Assistant in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.