Individual provider Active NPI

Kristin P Miller, DPT

  • Physical Therapist
  • Manheim, PA
National Provider Identifier
1669920500
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025479 Issued in PA
Practice address
82 Doe Run Rd
Manheim, PA 17545-9314
Phone
(717) 665-0400
Fax
(717) 665-0402
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
Yes

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.

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
Fox Rehabilitation Services Inc 1,169 clinicians
Family Practice Center PC 351 clinicians

Practice addresses (Care Compare)

1122 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (877) 407-3422

470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800

660 E Main St
New Holland, PA 17557-1410
Phone (717) 354-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001471 PA Practitioner - Physical Therapist in Private Practice 6800174095 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025479PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Mar 1, 2019 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Family Practice Center, PC Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients

Locations

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

82 Doe Run Rd
Manheim, PA 17545
Phone (717) 665-0400

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

75 Evelyn Dr
Millersburg, PA 17061
Phone (717) 692-4708

660 E Main St
New Holland, PA 17557
Phone (717) 354-7977

270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

Interoperability endpoints

  • Direct secure messaging: krmiller@direct.cprspt.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025479 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

82 Doe Run Rd
Manheim, PA 17545-9314

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1031407140028MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2023.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1669920500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 DOE RUN RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175459314",
            "telephone_number": "717-665-0400",
            "fax_number": "717-665-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTIN",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031407140028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manheim, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.

Verify at the official NPI Registry.