Active NPI
Myisha Stratton
- Prosthetic/Orthotic Supplier
- Willow Grove, PA
National Provider Identifier
1407638596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- CO222708L
- Practice address
- 52 N York Rd
Willow Grove, PA 19090-3415 - Phone
- (267) 453-9855
- Fax
- (215) 346-2555
- NPI assigned
- Oct 16, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | CO222708L | PA | Primary |
Addresses
Primary practice location
52 N York Rd
Willow Grove, PA 19090-3415
Mailing address
402 W Tabor Rd
Philadelphia, PA 19120-2810
Phone (267) 453-9855
Other names 1
- Myisha Miller
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 |
|---|---|---|---|
| CO222708L | PA | MD | Prosthetic/Orthotic Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D.D. Daughters Lace Wig Beautique, LLC | Prosthetic/Orthotic Supplier | Current | Accepting new patients |
| Best Decision Home Care | Current | Accepting new patients |
Locations
52 N York Rd
Willow Grove, PA 19090
Phone (215) 346-2555
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.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1700538832
-
- Prosthetic/Orthotic Supplier
- Willow Grove, PA
- NPI 1205375706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1407638596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W TABOR RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202810",
"telephone_number": "267-453-9855",
"fax_number": "215-346-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 N YORK RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190903415",
"telephone_number": "267-453-9855",
"fax_number": "215-346-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATTON",
"first_name": "MYISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "PA",
"license": "CO222708L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYISHA",
"last_name": "MILLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.