Active NPI
Kimberly Weber Miller, PT
- Physical Therapist
- Mequon, WI
National Provider Identifier
1578587689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10625-024
- Practice address
- 12600 N Port Washington Rd
Mequon, WI 53092-3469 - Phone
- (262) 381-8830
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10625-024 | WI | Primary |
Addresses
Primary practice location
12600 N Port Washington Rd
Mequon, WI 53092-3469
Mailing address
N119W15491 Daniels Dr
Germantown, WI 53022-2000
Phone (262) 432-0265
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10625-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578587689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N119W15491 DANIELS DR",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530222000",
"telephone_number": "262-432-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 N PORT WASHINGTON RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923469",
"telephone_number": "262-381-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KIMBERLY",
"middle_name": "WEBER",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10625-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
- Midwest Orthopedic Specialty Hospital, LLC
- Midwest Rnfa Providers
- Roseann Marie Miller-Greis
- Brigid Grace Miller, MS, LMFT
- Haley Susan Challoner Miller, LCSW
- Lisa Ann Miller
- Taylor Jean Miller
- Milwaukee Center for Diagnostic Imaging LLC (Center for Diagnostic Imaging)
- Milwaukee Counseling Center LLC
- Milwaukee Ear Nose Throat Clinic Limited
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.