Active NPI
Krisane Miller Auth, DPT, CFMM, ATC
- Physical Therapist
- Norfolk, VA
National Provider Identifier
1710177134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005493
- Practice address
- 870 N Military Hwy, Suite 224
Norfolk, VA 23502-3638 - Phone
- (757) 777-4565
- NPI assigned
- Aug 1, 2007
- Last updated
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305005493 | VA | Primary |
Addresses
Primary practice location
870 N Military Hwy, Suite 224
Norfolk, VA 23502-3638
Mailing address
870 N Military Hwy
Suite 224
Norfolk, VA 23502-3638
Phone (757) 777-4565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192967 | Other | VA | BCBS (PHYSICAL THERAPY) |
| 1710177134 | Medicaid | VA |
Other names 1
- Krisane Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jrose Integrative Therapy | Current | Accepting new patients | |
| Tracy M. Hernandez, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
900 Stanhope Gdns
Ste 101
Chesapeake, VA 23320
Phone (757) 842-6562
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Norfolk, VA
- NPI 1144838780
-
- Physical Therapy Clinic/Center
- Chesapeake, VA
- NPI 1598932113
-
dba Innovative Therapy & Wellness
- Physical Therapist
- Virginia Beach, VA
- NPI 1487664264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1710177134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 N MILITARY HWY",
"address_2": "SUITE 224",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023638",
"telephone_number": "757-777-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 N MILITARY HWY, SUITE 224",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023638",
"telephone_number": "757-777-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTH",
"first_name": "KRISANE",
"middle_name": "MILLER",
"name_prefix": "Dr.",
"credential": "DPT, CFMM, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS (PHYSICAL THERAPY)",
"identifier": "192967",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710177134",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISANE",
"last_name": "MILLER",
"credential": "PT, ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.