Kimberly Ann Miller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026921 Issued in PA

Practice address

100 Presidential Blvd
Bala Cynwyd, PA 19004

Phone

(610) 668-0904

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Ligonier, PA
  • NPI 1487010583

  Physical Therapist

  Medicare reassignment NPD
• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Lansdowne, PA
  • NPI 1861491755
  NPD
• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1245235191
  NPD

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1558855577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 BEATTY RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461333",
            "telephone_number": "412-977-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "19004",
            "telephone_number": "610-668-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17962",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Mezrow, MS, MD, FACS
• Michael R. Grossman, DPM
• Kendra Mickens
• Milena Rossius LPC
• Shelley F Milestone, PH.D.
• Mindset Over Matter Therapeutic Services
• Eduardo Minsk, D.M.D.
• Jennifer Mirel
• Dorian James Mitchell, MS, LBS
• Mobile Medical Practitioners

• Physical Therapist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.