Active NPI
Maria Gabriela Miller, PT
- Physical Therapist
- Liberty, MO
National Provider Identifier
1396218806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2018028607
- Practice address
- 527 N State Route 291 Ste a
Liberty, MO 64068-1045 - Phone
- (816) 792-0849
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2018028607 | MO | Primary |
Addresses
Primary practice location
527 N State Route 291 Ste a
Liberty, MO 64068-1045
Mailing address
5293 Foxridge Dr Apt 203
Mission, KS 66202-4525
Phone (913) 912-0946
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018028607 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1396218806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5293 FOXRIDGE DR APT 203",
"city": "MISSION",
"state": "KS",
"postal_code": "662024525",
"telephone_number": "913-912-0946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 N STATE ROUTE 291 STE A",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681045",
"telephone_number": "816-792-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARIA",
"middle_name": "GABRIELA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018028607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.