Madeline Ann Miller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

177622 Issued in AK

Practice address

35105 Kenai Spur Hwy Ste a
Soldotna, AK 99669-7658

Phone

(907) 260-7444

Fax

(866) 829-0999

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revolution Sport & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Soldotna, AK
  • NPI 1598215170
  Medicare reassignment NPD
• Borealis Chiropractic Inc

  • Chiropractor
  • Soldotna, AK
  • NPI 1558800607
  NPD
• Kenai Kids Therapy Inc

  • Physical Therapist
  • Kenai, AK
  • NPI 1780711846
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1295400737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35105 KENAI SPUR HWY STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697658",
            "telephone_number": "907-260-7444",
            "fax_number": "866-829-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35105 KENAI SPUR HWY STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697658",
            "telephone_number": "907-260-7444",
            "fax_number": "866-829-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MADELINE",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "177622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Sue Mildbrand, MD
• John Samuel Miley, DDS
• Annarose Noelle Miller, CCC-SLP
• David Edward Miller, PHARMD
• Fritz Miller
• Marie Chiyoko Miller
• Tamara Rae Miller, RD, IBCLC
• Carolanne Millington, LMT
• Jacob R Milliron, PHARM D
• Kristin Mildred Mitchell

• Physical Therapist in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.