Melissa L Miller, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1041 Issued in NE

Practice address

106 E 13TH St
Bayard, NE 69334-8051

Phone

(308) 586-1142

NPI assigned

Aug 29, 2011

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chimney Rock Villa

  • Skilled Nursing Facility
  • Bayard, NE
  • NPI 1740220268
  NPD (past)

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1811278377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A",
            "city": "BAYARD",
            "state": "NE",
            "postal_code": "693340675",
            "telephone_number": "308-586-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 13TH ST",
            "city": "BAYARD",
            "state": "NE",
            "postal_code": "693348051",
            "telephone_number": "308-586-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELISSA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Gartrell, RN
• Desarae Dawn Hascall
• Matthew Janssen
• Justine R Jobman, RN
• Kody Joseph Krantz, SERGEANT U.S. ARMY
• Artila Montesdeoca
• Amia Melis Moreno
• Morrill County Community Hospital (Chimney Rock Medical Center)
• Morrill County Community Hospital (Chimney Rock Medical Center)
• Vashti D Perez-Rupp

• Physical Therapy Assistant in Bayard, NE
• Providers in Bayard, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.