Active NPI
Amy Beth Marie Miller, PT
- Physical Therapist
- Cedar Crest, NM
National Provider Identifier
1083740971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3373
- Practice address
- 12127 B-3 North Highway 14
Cedar Crest, NM 87008 - Phone
- (505) 286-3678
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Moriarty, NM
- NPI 1669455994
-
- Physical Therapist
- Cedar Crest, NM
- NPI 1467634469
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fowler Enterprises Inc | Physical Therapist | Past | Accepting new patients |
| Fowler Enterprises Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3373 | NM | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12127 B-3 North Highway 14
Cedar Crest, NM 87008
Mailing address
208 Calias Dr
Tijeras, NM 87059-7434
Phone (505) 400-6322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083740971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 CALIAS DR",
"city": "TIJERAS",
"state": "NM",
"postal_code": "870597434",
"telephone_number": "505-400-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12127 B-3 NORTH HIGHWAY 14",
"city": "CEDAR CREST",
"state": "NM",
"postal_code": "87008",
"telephone_number": "505-286-3678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AMY BETH",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Crest, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.