Jeanette Brianne Miller

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019674 Issued in PA

Practice address

12120 Route 30
North Huntingdon, PA 15642-1840

Phone

(724) 864-4155

Fax

(724) 864-4659

NPI assigned

Dec 30, 2008

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Suburban Sports Medicine Center LPGroup PAC ID 6507306909, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• East Suburban Sports Medicine Center LP

  • Physical Therapist
  • Murrysville, PA
  • NPI 1730925538
  Medicare reassignment Care Compare group NPD
• East Suburban Sports Medicine Center, LTD.

  • Specialist
  • Murrysville, PA
  • NPI 1750384988

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1417193186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 ROUTE 30",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421840",
            "telephone_number": "724-864-4155",
            "fax_number": "724-864-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 ROUTE 30",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421840",
            "telephone_number": "724-864-4155",
            "fax_number": "724-864-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEANETTE",
        "middle_name": "BRIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naveen Janardhan Menon
• Krista Merrill
• Maryjane Lesnick Mertz, LCSW ACSW DCSW
• Rachel Lynne Mesta, LSW
• Michael Stephens PHD LPC Counseling PC
• David Stephen Mills, M.D.
• Preston Scott Mullens
• Rosamaria Munoz
• Paige Noel Murphy
• Kelly Stewart Nace

• Physical Therapist in North Huntingdon, PA
• Providers in North Huntingdon, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.