Active NPI
Kadesha Sashauna Miller, PT
- Physical Therapist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045571
- Practice address
- 475 Northern Blvd Ste 11
Great Neck, NY 11021-4802 - Phone
- (516) 829-0030
- NPI assigned
- Jul 10, 2020
- 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 | 045571 | NY | Primary |
Addresses
Primary practice location
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Mailing address
320 Carleton Ave
Central Islip, NY 11722-4506
Phone (516) 738-9033
Other practice location 1
320 Carleton Ave
Central Islip, NY 11722-4506
Phone (631) 517-9261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.35 of 100
- Quality
- 73.31
- Improvement activities
- 40
- Cost
- 73.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045571 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Reddy Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
| New York Physical Medicine Services, PC | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
111 E 210th St
Bronx, NY 10467
815 Hutchinson River Pkwy
Bronx, NY 10465
Phone (718) 536-2690
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
285 Sills Rd
Bldg 5-6C
East Patchogue, NY 11772
Phone (631) 475-2858
309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900
27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030
800 E Gate Blvd
Garden City, NY 11530
1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
521 Route 111
Ste 107
Hauppauge, NY 11788
Phone (631) 724-9505
201 Moreland Rd
Ste 8
Hauppauge, NY 11788
Phone (631) 499-1800
576 Broadhollow Rd
Melville, NY 11747
22005 Hillside Ave
Queens Village, NY 11427
Phone (718) 400-8330
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
1312 Middle Country Rd
Selden, NY 11784
Phone (631) 698-6556
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 10
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Medical Specialty Clinic/Center
- Hauppauge, NY
- NPI 1861516577
-
- Occupational Therapist
- Rockville Centre, NY
- NPI 1205296902
Physical Therapist
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Occupational Therapist
- Whitestone, NY
- NPI 1487104261
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1609494061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 CARLETON AVE",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117224506",
"telephone_number": "516-738-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 NORTHERN BLVD STE 11",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214802",
"telephone_number": "516-829-0030"
}
],
"practiceLocations": [
{
"address_1": "320 Carleton Ave",
"address_purpose": "LOCATION",
"city": "Central Islip",
"state": "NY",
"postal_code": "117224506",
"country_code": "US",
"telephone_number": "631-517-9261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KADESHA",
"middle_name": "SASHAUNA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-10",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.