Active NPI
Colleen P Miller, PT
- Geriatric Physical Therapist
- Meadville, PA
National Provider Identifier
1164230835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT007324L
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT007324L | PA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Visiting Nurses | Geriatrics | Current | Accepting new patients |
| Alliance Visiting Nurses | Geriatrics | Current | 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.