John K. Miller, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00000865 Issued in WA

Practice address

2520 7TH St. S.E.
Puyallup, WA 98374-1105

Phone

(253) 848-2309

Fax

(253) 848-8407

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1083709687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 7TH ST. S.E.",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741105",
            "telephone_number": "253-848-2309",
            "fax_number": "253-848-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 7TH ST. S.E.",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741105",
            "telephone_number": "253-848-2309",
            "fax_number": "253-848-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00000865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7206204",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROVIDER NUMBER",
            "identifier": "MI1539",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald E Miller, PT
• Fabiola Miller
• Hannah Jean Miller, M.S., CCC-SLP
• James Miller, DDS
• Jeffrey R Miller, DMD
• Joyce L. Miller
• Lanea Miller, MA
• Lisa Marie Miller
• Rae Karin Miller, M ED.
• Tawni L Miller, M.ED., CCC-SLP

• Physical Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapist in Washington

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