Active NPI
Jillian Brook Miller, PTA
- Physical Therapy Assistant
- Glasgow, KY
National Provider Identifier
1093245383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AO1736
- Practice address
- 2388 Hollow Rd
Glasgow, KY 42141-9404 - Phone
- (270) 670-8556
- NPI assigned
- Jun 19, 2017
- Last updated
- Jul 21, 2022
- 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 | AO1736 | KY | Primary |
Addresses
Primary practice location
2388 Hollow Rd
Glasgow, KY 42141-9404
Mailing address
2388 Hollow Rd
Glasgow, KY 42141
Phone (270) 670-8556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YRP626M82180 | Other | KY | ANTHEM BC/BS |
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 |
|---|---|---|---|
| AO1736 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093245383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2388 HOLLOW RD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "42141",
"telephone_number": "270-670-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2388 HOLLOW RD",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421419404",
"telephone_number": "270-670-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JILLIAN",
"middle_name": "BROOK",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "AO1736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "YRP626M82180",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.