Connie S Miller, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025205 PT00002409 Issued in WA

Practice address

123 E Johnson Ave
Chelan, WA 98816-0006

Phone

(509) 682-4713

Fax

(509) 682-3218

NPI assigned

Nov 8, 2005

Last updated

Aug 13, 2010By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.6 of 100Reported as group

Quality

80

Improvement activities

40

Cost

85.34

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lake Chelan Physical Therapy, PS

  dba Lake Chelan Physical Therapy

  • Physical Therapy Clinic/Center
  • Chelan, WA
  • NPI 1407837453
  Medicare reassignment

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1346221389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "CARLTON",
            "state": "WA",
            "postal_code": "988140156",
            "telephone_number": "509-997-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E JOHNSON AVE",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988160006",
            "telephone_number": "509-682-4713",
            "fax_number": "509-682-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CONNIE",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "025205 PT00002409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8335598",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I ID",
            "identifier": "33461",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Reece Maxwell, LMT
• Aarrin Marie McDougal, FNP-BC
• Dru Douglas McKenzie, LMP
• Marta Elena McKinney
• Christina Mendoza, ARNP
• Charmaine R Minnis, PT
• Ryan Timothy Minton, PAC
• Kayla M Monteleone, LMP
• Raphael Mprah, PMHNP-BC
• Minwoong NA, DMD

• Physical Therapist in Chelan, WA
• Providers in Chelan, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.