Donna Miller, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

024623 Issued in NY

Practice address

3920 Veterans Hwy
Suite 13
Bohemia, NY 11716-1074

Phone

(631) 630-6485

Fax

(631) 630-6486

NPI assigned

Oct 2, 2006

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Care Physical Therapy, PCGroup PAC ID 9133276058, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Proactive Care Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Bohemia, NY
  • NPI 1528210390
  Medicare reassignment Care Compare group Authorized official
• North Island Physical Therapy, PC

  • Specialist
  • Stony Brook, NY
  • NPI 1326131392
  NPD (past)
• Robert Mosca Physical Therapy, PLLC

  • Specialist
  • Stony Brook, NY
  • NPI 1235545732
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1215020284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 VETERANS HWY",
            "address_2": "SUITE 13",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161074",
            "telephone_number": "631-630-6485",
            "fax_number": "631-630-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 VETERANS HWY",
            "address_2": "SUITE 13",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161074",
            "telephone_number": "631-630-6485",
            "fax_number": "631-630-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "024623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Denise Melicharek, RN
• Shari Joy Menachem, LMSW
• Kristine Menna, LCAT
• Diana Michell, LMHC
• Ragy F Mikhail, PHARMACIST
• Douglas G Miller, OD
• Vera Mirayes, MS
• Andrea L Mistler, OTRL
• Chelsea Mojallali
• Valerie Jeanne Monaco

• Specialist in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.