Individual provider Active NPI

Christi S Miller, PT, OCS

  • Physical Therapist
  • Jeffersonville, IN
National Provider Identifier
1609451020
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05006415A Issued in IN
Practice address
4812 Hamburg Pike
Jeffersonville, IN 47130-9209
Phone
(812) 282-4257
Fax
(812) 288-1161
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003596 KY
Physical Therapist 225100000X 05006415A IN Primary

Addresses

Primary practice location

4812 Hamburg Pike
Jeffersonville, IN 47130-9209

Mailing address

4812 Hamburg Pike
Jeffersonville, IN 47130-9209
Phone (812) 282-4257

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

LicenseStateTypeSpecialty
05006415AINMDPhysical Therapist
003596KYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1609451020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 HAMBURG PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309209",
            "telephone_number": "812-282-4257",
            "fax_number": "812-288-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 HAMBURG PIKE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309209",
            "telephone_number": "812-282-4257",
            "fax_number": "812-288-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003596",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05006415A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.