Individual provider Active NPI

Heather Beichner Miller, PT, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1366906927
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1327 SE Tacoma St Unit 122
Portland, OR 97202-6639
Phone
(971) 361-9442
Fax
(888) 645-6068
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 Primary

Addresses

Primary practice location

1327 SE Tacoma St Unit 122
Portland, OR 97202-6639

Mailing address

1327 SE Tacoma St Unit 122
Portland, OR 97202-6639
Phone (971) 361-9442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190418002551 OR Practitioner - Physical Therapist in Private Practice 1759623846 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Lake Physical Therapy and Rehab LP Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients

Locations

101 S State St
Ste 200G
Lake Oswego, OR 97034
Phone (503) 636-3028

101 S State St
Ste 4200
Lake Oswego, OR 97034
Phone (503) 636-3025

4606 SE Boardman Ave
Portland, OR 97267
Phone (503) 353-9776

Organizations & group practices 2

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1366906927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 SE TACOMA ST UNIT 122",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026639",
            "telephone_number": "971-361-9442",
            "fax_number": "888-645-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 SE TACOMA ST UNIT 122",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026639",
            "telephone_number": "971-361-9442",
            "fax_number": "888-645-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HEATHER",
        "middle_name": "BEICHNER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.