Steven Walter Miller, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00311800 Issued in NJ

Practice address

259 Paterson Ave Unit 4
Wallington, NJ 07057-1918

Phone

(201) 340-4656

NPI assigned

Sep 7, 2024

Last updated

Sep 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1699500678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 COLUMBUS PL",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101051",
            "telephone_number": "732-735-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 PATERSON AVE UNIT 4",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571918",
            "telephone_number": "201-340-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEVEN",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00311800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Lesiczka, M.D.
• Christopher Lucci
• Malgorzata Teresa Lupinska, MD
• Amani Marie
• Ewa Matuszkiewicz
• Talya Miller
• Miroslawa M. Parfomak, DDS LLC
• Selma Desiree Mizrak
• MJ Natural Wellness LLC
• Michael Christopher Molloy, MSW, LCSW

• Physical Therapy Assistant in Wallington, NJ
• Providers in Wallington, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.