Melissa L Miller, PTA
Individual provider Active NPI Physical Therapy Assistant · Bayard, NE
NPI 1811278377 · NPPES record last updated Aug 29, 2011
Key facts
- NPI
- 1811278377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1041 (NE)
- Practice address
- 106 E 13TH St
Bayard, NE 69334-8051 - Phone
- (308) 586-1142
- NPI assigned
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chimney Rock Villa | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1041 | NE | Yes |
Addresses
Primary practice location
106 E 13TH St
Bayard, NE 69334-8051
Mailing address
PO Box a
Bayard, NE 69334-0675
Phone (308) 586-1142
Other providers in Bayard, NE
- Trevor Eugene Eirich
- Desarae Dawn Hascall
- Matthew Janssen
- Justine R Jobman
- Kody Joseph Krantz
- Artila Montesdeoca
- Amia Melis Moreno
- Morrill County Community Hospital
- Morrill County Community Hospital
- Vashti D Perez-Rupp
All providers in Bayard, NE · Physical Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.