Individual provider Active NPI

Nichole Miller

  • Physical Therapist
  • Saint Joseph, MO
National Provider Identifier
1093376436
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1802 N Woodbine Rd
Saint Joseph, MO 64506-3667
Phone
(816) 232-5113
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1802 N Woodbine Rd
Saint Joseph, MO 64506-3667

Mailing address

15456 NW 124TH St
Platte City, MO 64079-8396
Phone (785) 207-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190925002825 MO Practitioner - Physical Therapist in Private Practice 5294065744 Reassigns benefits to 1 organization
I20220414000485 KS Practitioner - Physical Therapist in Private Practice 5294065744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

12156 Shawnee Mission Pkwy
Suite C
Shawnee, KS 66216-1830
Phone (913) 815-6677

2000 Kentucky Ave
Suite D
Platte City, MO 64079-7714
Phone (816) 858-2368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP CurrentSince Apr 11, 2022 Accepting new patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Apr 11, 2022 Accepting new patients

Locations

15455 S Rogers Rd
Olathe, KS 66062
Phone (913) 254-0568

6400 Glenwood St
Ste 111
Overland Park, KS 66202
Phone (877) 344-2721

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

2000 Kentucky Ave
Ste D
Platte City, MO 64079
Phone (816) 858-2368

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1093376436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15456 NW 124TH ST",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640798396",
            "telephone_number": "785-207-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063667",
            "telephone_number": "816-232-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.