Active NPI
Lindsay Miller, DPT
- Physical Therapist
- Tustin, CA
National Provider Identifier
1639546385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42954
- Practice address
- 2492 Walnut Ave
#140
Tustin, CA 92780-6953 - Phone
- (714) 544-2188
- NPI assigned
- Aug 28, 2015
- 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 | 42954 | CA | Primary |
Addresses
Primary practice location
2492 Walnut Ave
#140
Tustin, CA 92780-6953
Mailing address
4953 Wellington Park Dr
San Jose, CA 95136-2950
Phone (408) 239-7734
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42954 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1639546385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4953 WELLINGTON PARK DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951362950",
"telephone_number": "408-239-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2492 WALNUT AVE",
"address_2": "#140",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806953",
"telephone_number": "714-544-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LINDSAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.