Kerry Ryan Miller

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2122370 Issued in TX

Practice address

109 FM 126
Merkel, TX 79536-7953

Phone

(325) 370-5909

NPI assigned

Aug 24, 2018

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1801377114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FM 126",
            "city": "MERKEL",
            "state": "TX",
            "postal_code": "79536",
            "telephone_number": "325-370-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FM 126",
            "city": "MERKEL",
            "state": "TX",
            "postal_code": "795367953",
            "telephone_number": "325-370-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KERRY",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2122370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001028687",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR",
            "identifier": "676416",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Jo Jowers
• Norma Jean Jowers
• Deborah Sue Kill
• Merkel Drug Company
• Merkel Independent School District
• Carolyn Marie Nichois, RN, CRT
• Alan Nichols, FNP
• Priority Senior Care, PLLC
• Kelli Pritchard, FNP-C
• Lisa Renee Redman, LVN

• Physical Therapy Assistant in Merkel, TX
• Providers in Merkel, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.