Active NPI
Sharon K. Miller, P.T.
- Physical Therapist
- Kingston, PA
National Provider Identifier
1073646923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 005423L
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 005423L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Physical Therapy, PC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Kingston, PA
- NPI 1952433070
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.