Marilyn A. Miele, RPT
Individual provider Active NPI Physical Therapist · New Freedom, PA
NPI 1770516866 · NPPES record last updated Nov 17, 2015
Key facts
- NPI
- 1770516866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT1462E (PA)
- Practice address
- 781 Far Hills Dr
Suite 400
New Freedom, PA 17349-8447 - Phone
- (717) 235-9890
- Fax
- (717) 235-9894
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation LLC
Practice addresses (Care Compare)
1537 Washington Rd
Pittsburgh, PA 15228-1621
Phone (412) 851-3729
2200 Springwood Rd
York, PA 17403-4848
Phone (717) 971-4762
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040901000960 | PA | Practitioner - Physical Therapist in Private Practice | 8729053103 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1462E | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Orthopedic Surgeons LTD | Physical Therapist | Past | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
1537 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1462E | PA | Yes |
Addresses
Primary practice location
781 Far Hills Dr
Suite 400
New Freedom, PA 17349-8447
Mailing address
5300 Derry St 2ND
Harrisburg, PA 17111-3576
Phone (717) 839-2110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201031331 | Other | PA | TAX ID |
Other providers in New Freedom, PA
- Diane Carol Keuler
- Derek Liang
- Kim Ellen Libertini
- Nicholas Adam Lumsden
- Jessica Mendez
- Thomas Mitrev
- Oakworks Leasing Inc
- Leslie E Odell
- Mary Collette Parks
- Douglas H Prince
All providers in New Freedom, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.