Kristina Mason Miller

Primary specialty

Recreational Therapist AssistantTaxonomy code 226000000X

License

010552 Issued in NY

Practice address

85 Bloomingrove Dr
Troy, NY 12180-8433

Phone

(518) 283-2000

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1659956977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BLOOMINGROVE DR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BLOOMINGROVE DR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808433",
            "telephone_number": "518-283-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTINA",
        "middle_name": "MASON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226000000X",
            "taxonomy_group": "",
            "desc": "Recreational Therapist Assistant",
            "state": "NY",
            "license": "010552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Mikhitarian, P.T.
• Mikram Jafri and Company
• Mikram Jafri MD PC
• Jenna Marie Miller, RPA-C
• Jennifer Sanghee Miller, M.A., CCC-SLP
• Margaret Miller
• Mary Frances Miller, SLP
• Samantha Lynn Miller, LMSW
• Tara Michelle Miller, HIS
• Thomas Miller Miller, D.D.S.

• Recreational Therapist Assistant in Troy, NY
• Providers in Troy, NY by specialty
• Recreational Therapist Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.