Mark a Miller Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00002285 Issued in WA

Legal business name

MARK A MILLER PHYSICAL THERAPY LLC

Doing business as

Mark a Miller Physical Therapy LLC

Practice address

537 West Main Street
Brewster, WA 98812-1200

Phone

(509) 689-2226

Fax

(509) 689-8401

NPI assigned

May 10, 2017

Last updated

Jul 25, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Debra Sue Miller

Title

Business Manager

Phone

(509) 689-2260

Specialties & licenses 1

Addresses

Other names 1

• MARK A MILLER PHYSICAL THERAPY LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Anthony Miller, PT

  • Physical Therapist
  • Brewster, WA
  • NPI 1427317197
  Medicare reassignment NPD

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1760918932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988121200",
            "telephone_number": "509-689-2260",
            "fax_number": "509-689-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 WEST MAIN STREET",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988121200",
            "telephone_number": "509-689-2226",
            "fax_number": "509-689-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A MILLER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-689-2260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00002285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARK A MILLER PHYSICAL THERAPY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greg L Ledgerwood, MD
• Angel Karen Lund, M.ED., VRC
• Patrick Lynch, MD
• Bethany Lynn, MD
• Main Street Health Associates, P.S.
• Maria E Martinez, RN00151741
• Janice Irene May, CRNA
• MBB Brewster LLC (Regency Harmony House Rehabilitation and Nursing Center)
• Edith A McClosky, LMP
• Mark Anthony Miller, PT

• Physical Therapist in Brewster, WA
• Providers in Brewster, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.