Jill Catherine Miller, ATC/L

Individual provider Active NPI Other Specialist/Technologist · Hinckley, OH

NPI 1760628317 · NPPES record last updated Jan 5, 2009

Key facts

NPI
1760628317
Entity type
Individual (NPI type 1)
Primary specialty
Other Specialist/Technologist 246Z00000X
License
OHIO AT-090160 (OH)
Practice address
2567 Center Rd
Hinckley, OH 44233-9561
Phone
(330) 558-0100
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OHIO AT-090160OHMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Rehabilitation- a Physical Therapy and Sports Medicine Ctr Past Accepting new patients
Rehabilitation and Health Center, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X OHIO AT-090160 OH Yes

Addresses

Primary practice location

2567 Center Rd
Hinckley, OH 44233-9561

Mailing address

2567 Center Rd
Hinckley, OH 44233-9561
Phone (330) 558-0100

Other providers in Hinckley, OH

All providers in Hinckley, OH · Other Specialist/Technologist in Ohio

Sources for this page

Verify at the official NPI Registry.