Active NPI
Annika Miller
- Physical Therapist
- Lafayette, IN
National Provider Identifier
1578982583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05006936A
- Practice address
- 1501 Hartford St
Lafayette, IN 47904-2134 - Phone
- (765) 423-6885
- Fax
- (765) 423-6099
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05006936A | IN | Primary |
Addresses
Primary practice location
1501 Hartford St
Lafayette, IN 47904-2134
Mailing address
1501 Hartford St
Lafayette, IN 47904-2134
Phone (765) 423-6885
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 |
|---|---|---|---|
| 05006936A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert C. Lee, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physician
- Lafayette, IN
- NPI 1013047042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1578982583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 HARTFORD ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042134",
"telephone_number": "765-423-6885",
"fax_number": "765-423-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HARTFORD ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042134",
"telephone_number": "765-423-6885",
"fax_number": "765-423-6099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANNIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05006936A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.