Individual provider Active NPI

Sharon K. Miller, P.T.

  • Physical Therapist
  • Kingston, PA
National Provider Identifier
1073646923
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 005423L Issued in PA
Practice address
601 Wyoming Ave
Kingston, PA 18704-9801
Phone
(570) 825-9722
Fax
(570) 825-9723
NPI assigned
Mar 13, 2007
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 005423L PA Primary

Addresses

Primary practice location

601 Wyoming Ave
Kingston, PA 18704-9801

Mailing address

601 Wyoming Ave
Kingston, PA 18704-9801
Phone (570) 825-9722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000293 PA Practitioner - Physical Therapist in Private Practice 9032383468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Physical Therapy, PCGroup PAC ID 1951389741, 2 clinicians

Practice addresses (Care Compare)

601 Wyoming Ave
Kingston, PA 18704-9801
Phone (570) 825-9722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 005423LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Physical Therapy, PC Physical Therapist CurrentSince Sep 1, 1988 Accepting new patients

Locations

601 Wyoming Ave
Kingston, PA 18704
Phone (570) 287-8649

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1073646923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187049801",
            "telephone_number": "570-825-9722",
            "fax_number": "570-825-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187049801",
            "telephone_number": "570-825-9722",
            "fax_number": "570-825-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHARON",
        "middle_name": "K.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT 005423L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.

Verify at the official NPI Registry.