Individual provider Active NPI

Colleen P Miller, PT

  • Geriatric Physical Therapist
  • Meadville, PA
National Provider Identifier
1164230835
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT007324L Issued in PA
Practice address
18360 Conneaut Lake Rd Ste 2
Meadville, PA 16335-3735
Phone
(814) 460-1348
Fax
(814) 333-7001
NPI assigned
Dec 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT007324L PA Primary

Addresses

Primary practice location

18360 Conneaut Lake Rd Ste 2
Meadville, PA 16335-3735

Mailing address

18360 Conneaut Lake Rd Ste 2
Meadville, PA 16335-3735
Phone (814) 460-1348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002449 PA Practitioner - Physical Therapist in Private Practice 6709378912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18360 Conneaut Lake Rd
Suite 2
Meadville, PA 16335-3735

18360 Conneaut Lake Rd
Suite 2
Meadville, PA 16335-3740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007324LPAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Visiting Nurses Geriatrics CurrentSince Dec 29, 2024 Accepting new patients
Alliance Visiting Nurses Geriatrics CurrentSince Oct 21, 2025 Accepting new patients

Locations

18360 Conneaut Lake Rd
Ste 2
Meadville, PA 16335
Phone (814) 333-7000

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": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1164230835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18360 CONNEAUT LAKE RD STE 2",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353735",
            "telephone_number": "814-460-1348",
            "fax_number": "814-333-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18360 CONNEAUT LAKE RD STE 2",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353735",
            "telephone_number": "814-460-1348",
            "fax_number": "814-333-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COLLEEN",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT007324L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.