Susan Dorothy Miller, PT, DPT, MS, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

003252-1 Issued in NY

Practice address

Fadden & Associates Physical Therapy, PLLC
242 Port Watson Street
Cortland, NY 13045

Phone

(607) 758-7212

Fax

(607) 758-3416

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fadden & Associates Physical Therapy PLLC

  • Physical Therapist
  • Cortland, NY
  • NPI 1871701177
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164574075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4468 STATE ROUTE 281",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130458893",
            "telephone_number": "607-756-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FADDEN & ASSOCIATES PHYSICAL THERAPY, PLLC",
            "address_2": "242 PORT WATSON STREET",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "13045",
            "telephone_number": "607-758-7212",
            "fax_number": "607-758-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "DOROTHY",
        "credential": "PT, DPT, MS, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "003252-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "5507146",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4123844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ngozi C Mezu, MD
• Alexandra Mikowski
• Hannah Grace Miller, ATC
• Jamie Kaye Miller, LMSW
• Olivia Miller, MHC
• Danielle Shelley Minty, LMSW
• Jonathan D Moe, MS
• Mohammad Djafari MD
• Christopher Hessam Moheimani, M.D.
• Erica Monaco, FNP

• All providers in Cortland, NY
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.