Active NPI
Kathleen Miller
- Contractor
- Ashtabula, OH
National Provider Identifier
1689098220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 001138
- Practice address
- 2141 W Prospect Rd
Ashtabula, OH 44004-6439 - Phone
- (440) 466-7815
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 001138 | OH | Primary |
Addresses
Primary practice location
2141 W Prospect Rd
Ashtabula, OH 44004-6439
Mailing address
PO Box 281
Austinburg, OH 44010-0281
Phone (440) 466-7815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2041 Hubbard Rd
Madison, OH 44057-2565
Phone (440) 307-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001138 | OH | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Current | Accepting new patients | |
| Cramer Physical Therapy, LLC | Current | Accepting new patients | |
| Legacy Healthcare Services Inc | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
2916 N Ridge Rd E
Ashtabula, OH 44004
Phone (440) 993-1004
2041 Hubbard Rd
Madison, OH 44057
Phone (440) 307-3409
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
- West Chester, OH
- NPI 1174153266
-
dba MyoFit Clinic
- Physical Therapy Clinic/Center
- Middlefield, OH
- NPI 1336552769
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1689098220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 281",
"city": "AUSTINBURG",
"state": "OH",
"postal_code": "440100281",
"telephone_number": "440-466-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 W PROSPECT RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440046439",
"telephone_number": "440-466-7815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "001138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.