Dustienne Miller, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

13343 Issued in MA

Practice address

262 Beacon St Ste 5
Boston, MA 02116-1295

Phone

(413) 551-9394

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Flourish Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Boston, MA
  • NPI 1962986166
  NPD Authorized official
• H&D Physical Therapy & Occupational Therapy PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1235174228
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1144310210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 BEACON ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161295",
            "telephone_number": "413-551-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 BEACON ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161295",
            "telephone_number": "413-551-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DUSTIENNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "13343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1779725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Miller, M.D.
• David Michael Miller, M.D., PH.D.
• David T Miller, MD
• Donna Adelaide Miller, MSW, LICSW
• Drew Joseph Miller, PH.D.
• Elise M Miller, PA-C
• Elizabeth Miller, ANP-BC
• Emily Anne Miller, MD, MPH
• Emily S Miller, MD
• Ezra Ross Miller, MD

• Orthopedic Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.