Individual provider Active NPI

Aliya Decates-Miller

  • Physical Therapist
  • Mount Wolf, PA
National Provider Identifier
1336545102
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023995 Issued in PA
Practice address
4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637
Phone
(717) 266-9294
Fax
(717) 384-8071
NPI assigned
Nov 6, 2014
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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 PT023995 PA Primary

Addresses

Primary practice location

4880 N Sherman Street Ext
Mount Wolf, PA 17347-9637

Mailing address

4880 North Sherman Street
Mt Wolf, PA 17347
Phone (717) 266-9294

Other names 1

  • Aliya Decates Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930003921 OH Practitioner - Physical Therapist in Private Practice 9335670439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

305 Bishop Rd
Highland Heights, OH 44143-1447
Phone (440) 202-9814

355 W Central Ave
Springboro, OH 45066-1293
Phone (937) 345-0969

8155 Mentor Hills Dr
Mentor, OH 44060-7862
Phone (440) 701-6892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT023995PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Thrive Aging and Wellness Physical Therapist Current Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1336545102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 NORTH SHERMAN STREET",
            "city": "MT WOLF",
            "state": "PA",
            "postal_code": "17347",
            "telephone_number": "717-266-9294",
            "fax_number": "717-384-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 N SHERMAN STREET EXT",
            "city": "MOUNT WOLF",
            "state": "PA",
            "postal_code": "173479637",
            "telephone_number": "717-266-9294",
            "fax_number": "717-384-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECATES-MILLER",
        "first_name": "ALIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIYA",
            "last_name": "DECATES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Wolf, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.