Chloe Lyn Miller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2024006190 Issued in MO

Practice address

1428 W Meyer Rd
Wentzville, MO 63385-3499

Phone

(636) 887-3660

NPI assigned

Feb 16, 2024

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

Other names 1

• Chloe Vacca Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Babar Enterprises LLC

  • Physical Therapist
  • Warrenton, MO
  • NPI 1548425002
  NPD (past)

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1285499483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 W MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853499",
            "telephone_number": "636-887-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHLOE",
        "middle_name": "LYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024006190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHLOE",
            "last_name": "VACCA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Mensah-Ruff, LMSW
• Lyndsay Menz
• Mercy Pharmacy Services LLC
• Jamie Marie Merritt, RDN, LD, MS
• Lisa Orf Mikecin, PH.D.
• Heather Lynn Miller, FNP
• Kassandra Miller, MA, CIT, LPC
• Marcus Miller, MA
• Missouri Center for Oral Surgery and Implants LLC
• Missouri CVS Pharmacy LLC

• Physical Therapist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.