Individual provider Active NPI

Tina Miller

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1023282910
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3690 Southwestern Blvd
Orchard Park, NY 14127-1720
Phone
(716) 662-4955
Fax
(716) 972-0338
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care Southeast LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Lighthouse Therapy LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Synergy Care Southeast, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Southern Flex Rehabilitation & Consulting, LLC Physical Therapist Past Accepting new patients

Locations

8520 S 36th Ter
Fort Smith, AR 72908
Phone (479) 410-1740

9351 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 267-5351

14443 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 443-1200

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

270 Ashton Plantation Blvd
Luling, LA 70070
Phone (985) 236-1345

3732 W Esplanade Ave S
Metairie, LA 70002
Phone (504) 318-0380

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

5703 Gulf Tech Dr
Ocean Springs, MS 39564
Phone (228) 875-5447

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3690 Southwestern Blvd
Orchard Park, NY 14127-1720

Mailing address

PO Box 428
Orchard Park, NY 14127-0428
Phone (716) 662-4955

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2008.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1023282910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270428",
            "telephone_number": "716-662-4955",
            "fax_number": "716-972-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271720",
            "telephone_number": "716-662-4955",
            "fax_number": "716-972-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.