Individual provider Active NPI

Michelle S Miller, MSPT, COMT

  • Physical Therapist
  • Golden, CO
National Provider Identifier
1255417648
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6269 Issued in CO
Practice address
1216 Arapahoe St
Golden, CO 80401-1124
Phone
(303) 279-9728
Fax
(303) 278-0180
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6269 CO Primary

Addresses

Primary practice location

1216 Arapahoe St
Golden, CO 80401-1124

Mailing address

1216 Arapahoe St
Golden, CO 80401-1124
Phone (303) 279-9728

Other identifiers 1

IdentifierTypeStateIssuer
COAAA3197OtherCOMEDICARE PTAN

Other names 1

  • Michelle S Kieft Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000086 CO Practitioner - Physical Therapist in Private Practice 0749251973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waldron'S Peak Physical Therapy PCGroup PAC ID 4284524836, 5 clinicians

Practice addresses (Care Compare)

1216 Arapahoe St
Golden, CO 80401-1124
Phone (303) 279-9728

5387 Manhattan Cir
Suite 100a
Boulder, CO 80303-4283
Phone (303) 543-7878

5387 Manhattan Circle
100A
Boulder, CO 80303-4283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1478AKMDDentist
6269COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waldron'S Peak Physical Therapy, P.C. Physical Therapist CurrentSince Jan 1, 2013 Accepting new patients
A Joint Effort Physical Therapy Inc. PastSince Jul 1, 2000 Accepting new patients
Aline Alaska Chiropractic LLC PastSince Nov 1, 2020 Accepting new patients

Locations

5387 Manhattan Cir
#100A
Boulder, CO 80303

5387 Manhattan Cir
Ste 100A
Boulder, CO 80303
Phone (303) 499-6818

1216 Arapahoe St
Golden, CO 80401
Phone (303) 279-3728

Organizations & group practices 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1255417648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 ARAPAHOE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011124",
            "telephone_number": "303-279-9728",
            "fax_number": "303-278-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 ARAPAHOE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011124",
            "telephone_number": "303-279-9728",
            "fax_number": "303-278-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "credential": "MSPT, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COAAA3197",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KIEFT",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.