Active NPI
Melissa Ruth Miller, PTA
- Physical Therapy Assistant
- Phoenix, AZ
National Provider Identifier
1275764938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8547A
- Practice address
- 3411 N 5TH Ave Ste 402
Phoenix, AZ 85013-3813 - Phone
- (602) 264-0443
- Fax
- (602) 264-9727
- NPI assigned
- Jul 29, 2009
- 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 Therapy Assistant | 225200000X | 8547A | AZ | Primary |
Addresses
Primary practice location
3411 N 5TH Ave Ste 402
Phoenix, AZ 85013-3813
Mailing address
5830 N 12TH PL Unit 2
Phoenix, AZ 85014-2359
Phone (480) 383-3941
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8547A | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1275764938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 N 12TH PL UNIT 2",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142359",
"telephone_number": "480-383-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 N 5TH AVE STE 402",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133813",
"telephone_number": "602-264-0443",
"fax_number": "602-264-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MELISSA",
"middle_name": "RUTH",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "8547A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.