Active NPI
Laura C Miller, PT
- Physical Therapist
- Gardena, CA
National Provider Identifier
1265454557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26121
- Practice address
- 15401 S Main St
Gardena, CA 90248-2214 - Phone
- (424) 551-2833
- NPI assigned
- Jul 24, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26121 | CA | Primary |
Addresses
Primary practice location
15401 S Main St
Gardena, CA 90248-2214
Mailing address
48624 Moon Terrace LN
Palm Desert, CA 92260-6769
Phone (619) 517-8087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26121 | CA | MD | Mental Health Counselor |
| PT26121 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1265454557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48624 MOON TERRACE LN",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922606769",
"telephone_number": "619-517-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15401 S MAIN ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902482214",
"telephone_number": "424-551-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LAURA",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.