Alexander Robert Mierau

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0015719 Issued in CO

Practice address

8925 Ridgeline Blvd Ste 102
Highlands Ranch, CO 80129-2354

Phone

(720) 316-9974

NPI assigned

Jul 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1487177549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ANGUS WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296227",
            "telephone_number": "720-841-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 RIDGELINE BLVD STE 102",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292354",
            "telephone_number": "720-316-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERAU",
        "first_name": "ALEXANDER",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "10411567-8016",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0015719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14052757",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A. Meyers-Saffold, M.D.
• Angela Meyers, PA-C
• Kari Miceli, PT
• Blair Nicole Michalak, PA-C
• Michelle O. Haynes, DMD, PC (Highlands Ranch Smiles)
• Moody Mihyu, MD
• Mile High Medical Diagnostics, LLC
• Mile High Pediatric Therapy LLC
• Mile High Pulmonary Critical Care
• Mile High Surgical Specialists, PC

• Physical Therapist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.