Active NPI
Karen B Millerson, DSCPT
- Pediatric Physical Therapist
- Warrenton, VA
National Provider Identifier
1760607238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2305004724
- Practice address
- 340 E. Shirley Ave
BLDG B
Warrenton, VA 20169 - Phone
- (540) 422-7145
- NPI assigned
- Apr 17, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2305004724 | VA | Primary |
Addresses
Primary practice location
340 E. Shirley Ave
BLDG B
Warrenton, VA 20169
Mailing address
5350 Jacobs Creek PL
Haymarket, VA 20169-6151
Phone (703) 753-3662
Other practice location 1
15361 Bradford Rd
Culpeper, VA 22701
Phone (540) 829-7480
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305004724 | VA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1760607238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 JACOBS CREEK PL",
"city": "HAYMARKET",
"state": "VA",
"postal_code": "201696151",
"telephone_number": "703-753-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E. SHIRLEY AVE",
"address_2": "BLDG B",
"city": "WARRENTON",
"state": "VA",
"postal_code": "20169",
"telephone_number": "540-422-7145"
}
],
"practiceLocations": [
{
"address_1": "15361 Bradford Rd",
"address_purpose": "LOCATION",
"city": "Culpeper",
"state": "VA",
"postal_code": "22701",
"country_code": "US",
"telephone_number": "540-829-7480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLERSON",
"first_name": "KAREN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DSCPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2021-09-14",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VA",
"license": "2305004724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.