Active NPI
Ronald B Miller, P.T.
- Physical Therapist
- Hastings on Hudson, NY
National Provider Identifier
1063518009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006201-2
- Practice address
- 382 Warburton Ave
Hastings on Hudson, NY 10706-2810 - Phone
- (914) 478-7678
- Fax
- (914) 478-7678
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006201-2 | NY | Primary |
Addresses
Primary practice location
382 Warburton Ave
Hastings on Hudson, NY 10706-2810
Mailing address
382 Warburton Ave
Hastings on Hudson, NY 10706-2810
Phone (914) 478-7678
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 814187 | Other | NY | MPN EMPIRE ID |
| P848415 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070503000565 | NY | Practitioner - Physical Therapist in Private Practice | 8022114271 | Practice locations: Hastings on Hudson, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
382 Warburton Ave
Hastings on Hudson, NY 10706-2810
Phone (914) 478-7678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006201 | NY | MD | Mental Health Counselor |
| 006201-2 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1063518009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 WARBURTON AVE",
"city": "HASTINGS ON HUDSON",
"state": "NY",
"postal_code": "107062810",
"telephone_number": "914-478-7678",
"fax_number": "914-478-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 WARBURTON AVE",
"city": "HASTINGS ON HUDSON",
"state": "NY",
"postal_code": "107062810",
"telephone_number": "914-478-7678",
"fax_number": "914-478-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RONALD",
"middle_name": "B",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "006201-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN EMPIRE ID",
"identifier": "814187",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P848415",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hastings on Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.