Individual provider Active NPI

Melissa L Miller, MPT

  • Physical Therapist
  • Holland, OH
National Provider Identifier
1306025929
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-01187 Issued in OH
Practice address
7141 Spring Meadows Dr W
Holland, OH 43528-9295
Phone
(419) 865-9425
Fax
(419) 865-9457
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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 PT-01187 OH Primary

Addresses

Primary practice location

7141 Spring Meadows Dr W
Holland, OH 43528-9295

Mailing address

3312 Glanzman Rd
Toledo, OH 43614-3856
Phone (419) 382-8141

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

LicenseStateTypeSpecialty
PT-01187OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Chiropractic & Wellness LLC PastSince Oct 29, 2012 Accepting new patients
Healtherapy Partners Inc Physical Therapist Past Accepting new patients
Omni Medical Services Inc PastSince Sep 7, 2021 Accepting new patients

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": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1306025929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 GLANZMAN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143856",
            "telephone_number": "419-382-8141",
            "fax_number": "419-382-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 SPRING MEADOWS DR W",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289295",
            "telephone_number": "419-865-9425",
            "fax_number": "419-865-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-01187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.