Gregory Miller, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043312 Issued in NY

Practice address

5190 Transit Rd
Depew, NY 14043-4324

Phone

(716) 651-0100

Fax

(716) 651-0151

NPI assigned

Apr 10, 2019

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Buffalo Rehab Group Physical Therapy and Occupational Therapy PC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1548290943
  Medicare reassignment NPD
• Stern at Home Physical Therapy PC

  dba Stern At Home Therapy

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Physical Therapist

  Medicare reassignment NPD
• Swiatek Physical Therapy PLLC

  dba Phoenix Physical Therapy

  • Physical Therapy Clinic/Center
  • Amherst, NY
  • NPI 1982025094

  Physical Therapist

  Medicare reassignment NPD
• Diversified Services for Occupational Therapy, Physical Ther

  dba Diversified Services, LLC

  • Audiologist
  • Kenmore, NY
  • NPI 1447283882
  NPD
• Diversified Services for Occupational Therapy, Physical Therapy, Speec

  • Physical Medicine & Rehabilitation Physician
  • Kenmore, NY
  • NPI 1417576547
  NPD
• Phoenix Physical Therapy Services, P.C.

  • Orthopedic Physical Therapist
  • Amherst, NY
  • NPI 1053553578
  NPD (past)

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1356804900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 8000 DEPT 314",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-213-0772",
            "fax_number": "716-324-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434324",
            "telephone_number": "716-651-0100",
            "fax_number": "716-651-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GREGORY",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05860155",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Migliaccio-Canna, MSED
• Patricia Milczewski
• Sarina Mary Milioto, DPT
• Kaitlin Alice Milks, SLP
• Cody Miller
• Kathryn Marie Miller, COTA
• Jay Miner
• Kate F Minnick, RPA-C
• Jamie R Miranda, RPH
• Kayliana Rae Mock, PA-C

• Physical Therapist in Depew, NY
• Providers in Depew, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.