Timothy Edward Miller, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10513-024 Issued in WI

Practice address

354 N Main St
Oregon, WI 53575-1426

Phone

(608) 835-3535

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By 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

Other identifiers 1

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1730388083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 MORRISON ST APT 3",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033847",
            "telephone_number": "608-835-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N MAIN ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751426",
            "telephone_number": "608-835-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10513-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36112200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Deborah McComb, PA-C
• Cheryl Sue McGraw, FNP-C, APNP
• Wendy Renee McNall, PT
• Max Edward Melberg, OD
• Laura L Mendyk, MD
• Bryn Milne
• Melissa Kay Monte, OTR, CLT
• Taylor Rae Morgan, LPC-IT
• Chad T Mueller, DDS
• Cherie Annette Murray, RN,MS,OTR/L

• Physical Therapist in Oregon, WI
• Providers in Oregon, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.