Bethany Robin Miller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032693 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

Sep 6, 2024

Last updated

Sep 6, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Leg Up Farm, Inc.

  • Occupational Therapist
  • Mount Wolf, PA
  • NPI 1063748762

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1376378489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "MILLER",
        "first_name": "BETHANY",
        "middle_name": "ROBIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Anne Lichty, M.A. CCC-SLP
• Samantha Jo Lowe, M.S., CCC-SLP
• Christina Ludwig, LPC
• Melissa E Maley, O.T.
• Samuel Means
• Mount Wolf Medical Center PC
• Kayla Muff, DPT
• Katelyn Parisi, OT
• Michael D Passmore, DMD
• Jennifer Patti, LCSW

• Physical Therapist in Mount Wolf, PA
• Providers in Mount Wolf, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.