Active NPI
Scott A Miller, PT
- Physical Therapist
- Erie, PA
National Provider Identifier
1083909311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-021302
- Practice address
- 5121 Zuck Rd
Erie, PA 16506-4950 - Phone
- (814) 836-0600
- Fax
- (814) 836-0610
- NPI assigned
- Jun 15, 2011
- Sex
- Male
- 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-021302 | PA | Primary |
Addresses
Primary practice location
5121 Zuck Rd
Erie, PA 16506-4950
Mailing address
1271 Belle Village Dr S
Erie, PA 16509-7603
Phone (814) 720-3641
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 |
|---|---|---|---|
| PT-021302 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics Galaxy Inc | Past | Accepting new patients | |
| Novacare Outpatient Rehabilitation East Inc | Past | Accepting new patients |
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 Therapy Clinic/Center
- Ferndale, MI
- NPI 1245235191
-
- Physical Therapy Clinic/Center
- Greenfield, WI
- NPI 1447250006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1083909311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1271 BELLE VILLAGE DR S",
"city": "ERIE",
"state": "PA",
"postal_code": "165097603",
"telephone_number": "814-720-3641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 ZUCK RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165064950",
"telephone_number": "814-836-0600",
"fax_number": "814-836-0610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-021302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.