Active NPI
Kristin P Miller, DPT
- Physical Therapist
- Manheim, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025479
- 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.
-
- Physical Therapist
- Wilmington, DE
- NPI 1326092503
PA, Physical Therapist
-
- Clinical Medical Laboratory
- Selinsgrove, PA
- NPI 1033322466
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 IncFamily Practice Center PC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT025479 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Current | Accepting new patients | |
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| Family Practice Center, PC | Physical Therapist | Current | 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
- krmiller@direct.cprspt.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT025479 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031407140028 | Medicaid | PA |
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.