Devon Nicole Minglin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06003394A Issued in IN

Practice address

1800 N Wabash Rd
Suite 200
Marion, IN 46952-1300

Phone

(765) 651-3229

NPI assigned

Nov 10, 2008

Sex

Female

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

Practice roles

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.

• Creative Health Solutions

  • Nursing Facility/Intermediate Care Facility
  • Marion, IN
  • NPI 1093979676
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1740434349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 LAUREN LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469017081",
            "telephone_number": "765-461-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N WABASH RD",
            "address_2": "SUITE 200",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521300",
            "telephone_number": "765-651-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGLIN",
        "first_name": "DEVON",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003394A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Faith Miller
• Lisa Ann Miller
• Theodore Robert Miller, PH.D., HSPP
• Thomas Paul Miller, MD
• William Marlin Miller, LCSW
• Daniel Allen Minix
• Mariah Christine Misson
• Jordan Mitchell, RBT
• Kortney Mitchell
• Miranda Jo Mitchell, FNP-C

• Physical Therapy Assistant in Marion, IN
• Providers in Marion, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.