Individual provider Active NPI

Janelle Garms Miller, P.T.

  • Physical Therapist
  • Spirit Lake, IA
National Provider Identifier
1073576997
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01405 Issued in IA
Practice address
2309 23Rd St.
Spirit Lake, IA 51360-0342
Phone
(712) 336-5320
Fax
(712) 336-0020
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1778 MN
Physical Therapist 225100000X 01405 IA Primary

Addresses

Primary practice location

2309 23Rd St.
Spirit Lake, IA 51360-0342

Mailing address

2309 23Rd St.
P. O. Box 342
Spirit Lake, IA 51360-0342
Phone (712) 336-5320

Other identifiers 1

IdentifierTypeStateIssuer
0496174MedicaidIA

Other names 1

  • Ms. Janelle Garms Kampf Former name

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
Back Care of Spirit Lake, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1073576997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 23RD ST.",
            "address_2": "P. O. BOX 342",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513600342",
            "telephone_number": "712-336-5320",
            "fax_number": "712-336-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 23RD ST.",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513600342",
            "telephone_number": "712-336-5320",
            "fax_number": "712-336-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JANELLE",
        "middle_name": "GARMS",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "1778",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496174",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "KAMPF",
            "middle_name": "GARMS",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.