Catherine Miller, DPT, ATC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

096004449 Issued in IL

Practice address

625 Enterprise Dr
Oak Brook, IL 60523-8813

Phone

(630) 575-6200

NPI assigned

May 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1245898857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 RUTLAND RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644745",
            "telephone_number": "630-818-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2937 S Brentwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "631442713",
            "country_code": "US",
            "telephone_number": "630-818-7299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CATHERINE",
        "credential": "DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MO",
            "license": "2016030518",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "IL",
            "license": "096004449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.miller@athletico.com",
            "affiliation": "Y",
            "endpointDescription": "Athletico email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2937 S Brentwood Blvd",
            "city": "Brentwood",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631442713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Midwest Medical Services Group LTD
• Midwest Neoped Associates LTD
• Midwest Orthopaedics at Rush, LLC
• Traci L Millar, MS, LCPC
• Lee-Anne J Millas, APN, FNP-C
• Deborah Beth Miller, LCSW
• Katherine Louise Miller, LCSW
• Louis J Miller III
• Walter John Miller Jr., MD
• Mind Spring S.C.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.