Active NPI
Anna L. Miller, PTA
- Physical Therapy Assistant
- Rancho Mirage, CA
National Provider Identifier
1073794129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 6233
- Practice address
- 72201 Country Club Dr
Rancho Mirage, CA 92270-4001 - Phone
- (760) 340-5999
- NPI assigned
- Nov 16, 2007
- Sex
- Female
- 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 Therapy Assistant | 225200000X | AT 6233 | CA | Primary |
Addresses
Primary practice location
72201 Country Club Dr
Rancho Mirage, CA 92270-4001
Mailing address
42796 Washington St
#1
Bermuda Dunes, CA 92203-3616
Phone (760) 899-6296
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 6233 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195171200000",
"number": "1073794129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42796 WASHINGTON ST",
"address_2": "#1",
"city": "BERMUDA DUNES",
"state": "CA",
"postal_code": "922033616",
"telephone_number": "760-899-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72201 COUNTRY CLUB DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704001",
"telephone_number": "760-340-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANNA",
"middle_name": "L.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 6233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.