Individual provider Active NPI

Christine Miller

  • Physical Therapist
  • Pomona, NY
National Provider Identifier
1457778391
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037283-1 Issued in NY
Practice address
26 Firemens Memorial Dr
Suite 115
Pomona, NY 10970-3553
Phone
(845) 362-8400
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 037283-1 NY Primary

Addresses

Primary practice location

26 Firemens Memorial Dr
Suite 115
Pomona, NY 10970-3553

Mailing address

65 Broadway
Ste 1803
New York, NY 10006-2514
Phone (212) 514-6499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150217000021 NY Practitioner - Physical Therapist in Private Practice 9234454158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York at Stony Brook, School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

547 W 27TH St
Suite 529
New York, NY 10001-5511
Phone (516) 849-8851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037283-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flatiron Chiropractic and Physical Therapy Associates PLLC CurrentSince Dec 1, 2020 Accepting new patients
Recovery Physical Therapy, PC Physical Therapist CurrentSince Jun 28, 2016 Accepting new patients
Physiostudio Physical Therapy, P.C. Physical Therapist CurrentSince Nov 11, 2020 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Manhattan Podiatry Associates PC PastSince Feb 1, 2011 Accepting new patients

Locations

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

65 Broadway
Ste 1803
New York, NY 10006
Phone (212) 514-6499

200 Park Ave
New York, NY 10166
Phone (212) 953-9494

118 E 28th St
Rm 208
New York, NY 10016
Phone (646) 654-7835

547 W 27th St
Rm 529
New York, NY 10001
Phone (516) 849-8851

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1457778391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BROADWAY",
            "address_2": "STE 1803",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100062514",
            "telephone_number": "212-514-6499",
            "fax_number": "212-514-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR",
            "address_2": "SUITE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703553",
            "telephone_number": "845-362-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037283-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.