C Maxwell Miller

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

013540-01 Issued in NY

Practice address

121 Dunning Rd
Middletown, NY 10940-2243

Phone

(845) 343-0801

NPI assigned

May 3, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1518656784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NORTHWOODS RD APT A",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402351",
            "telephone_number": "845-527-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DUNNING RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402243",
            "telephone_number": "845-343-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109414048",
            "country_code": "US",
            "telephone_number": "845-527-2197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "C MAXWELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013540-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Mihok, MSW
• Mariam Essam Mikhail, PTA
• Daniela Milanez, SLP
• April Miller
• Brandon Miller, HIS
• Calvin Miller
• Douglas Miller Jr., MS.ED SCHOOL PSYCHOL
• Mavalene May Donna Miller
• Megan Amie Miller, MS, TSHH
• Patricia Elizabeth Miller, D.D.S.

• Physical Therapy Assistant in Middletown, NY
• Providers in Middletown, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.