Active NPI
Christopher Daniel Miner, PT
- Specialist
- Providence, RI
National Provider Identifier
1477570430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 02050
- Practice address
- 2 Dudley St
Suite 200
Providence, RI 02905-3236 - Phone
- (401) 277-0790
- Fax
- (401) 277-0795
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 02050 | RI | Primary |
Addresses
Primary practice location
2 Dudley St
Suite 200
Providence, RI 02905-3236
Mailing address
75 Pierce St
Greenfield, MA 01301-1740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT02050 | Other | RI | LICENSE |
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 |
|---|---|---|---|
| 02050 | RI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477570430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PIERCE ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013011740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DUDLEY ST",
"address_2": "SUITE 200",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053236",
"telephone_number": "401-277-0790",
"fax_number": "401-277-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINER",
"first_name": "CHRISTOPHER",
"middle_name": "DANIEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "RI",
"license": "02050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT02050",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.