Individual provider Active NPI

Mariel Kierl, DPT

  • Physical Therapist
  • Edmond, OK
National Provider Identifier
1609508977
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6179 Issued in OK
Practice address
101 S Saints Blvd Ste 116
Edmond, OK 73034-3082
Phone
(140) 535-9186
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6179 OK Primary

Addresses

Primary practice location

101 S Saints Blvd Ste 116
Edmond, OK 73034-3082

Mailing address

101 S Saints Blvd Ste 116
Edmond, OK 73034-3082
Phone (140) 535-9186

Other names 1

  • Dr. Mariel Miller Professional name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Sep 2, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Sep 2, 2023 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients

Locations

101 S Saints Blvd
Ste 116
Edmond, OK 73034
Phone (405) 359-1864

8110 S Yale Ave
Ste 201
Tulsa, OK 74137
Phone (539) 235-0170

1010 Garth Brooks Blvd
Ste 135
Yukon, OK 73099
Phone (405) 350-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1609508977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAINTS BLVD STE 116",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343082",
            "telephone_number": "140-535-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAINTS BLVD STE 116",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343082",
            "telephone_number": "140-535-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERL",
        "first_name": "MARIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIEL",
            "last_name": "MILLER",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.