Active NPI
Alyssa Miller, SP
- Speech-Language Pathologist
- Ann Arbor, MI
National Provider Identifier
1386911568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 603 W Huron St
Ann Arbor, MI 48103-4209 - Phone
- (614) 570-1816
- NPI assigned
- Nov 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2011267 | OH | |
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
603 W Huron St
Ann Arbor, MI 48103-4209
Mailing address
2920 Valley Dr
Ann Arbor, MI 48103-2754
Phone (614) 570-1816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2187155 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011267 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roots Communication and Movement Services , L.L.C. | Current | Accepting new patients | |
| Abc Pediatric Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
603 W Huron St
Ann Arbor, MI 48103
Phone (614) 570-1816
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.
-
- Hearing and Speech Clinic/Center
- Ann Arbor, MI
- NPI 1932957263
-
- Physical Therapist
- West Chester, OH
- NPI 1134152861
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1386911568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 VALLEY DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481032754",
"telephone_number": "614-570-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W HURON ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481034209",
"telephone_number": "614-570-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALYSSA",
"credential": "SP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-16",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "2011267",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2187155",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.