Active NPI
Nai Ching Miao
- Physical Therapist
- San Gabriel, CA
National Provider Identifier
1073901831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18619
- Practice address
- 909 W Santa Anita Ave
San Gabriel, CA 91776-1018 - Phone
- (626) 289-5365
- NPI assigned
- Jan 2, 2015
- 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 Therapist | 225100000X | PT18619 | CA | Primary |
Addresses
Primary practice location
909 W Santa Anita Ave
San Gabriel, CA 91776-1018
Mailing address
909 W Santa Anita Ave
San Gabriel, CA 91776-1018
Phone (626) 289-5365
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 |
|---|---|---|---|
| PT18619 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1073901831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 W SANTA ANITA AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761018",
"telephone_number": "626-289-5365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 W SANTA ANITA AVE",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761018",
"telephone_number": "626-289-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIAO",
"first_name": "NAI CHING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT18619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.