Active NPI
Kelly Miller
- Physical Therapist
- Thousand Oaks, CA
National Provider Identifier
1811532476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297549
- Practice address
- 2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011 - Phone
- (805) 370-1020
- NPI assigned
- Nov 7, 2019
- Last updated
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297549 | CA | Primary |
Addresses
Primary practice location
2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Mailing address
2166 N Moorpark Rd Ste 200
Thousand Oaks, CA 91360-5011
Phone (805) 370-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2166 N Moorpark Rd
Suite 200
Thousand Oaks, CA 91360-5009
Phone (805) 370-1020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bartley Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
2166 N Moorpark Rd
Ste 200
Thousand Oaks, CA 91360
Phone (805) 370-1020
Organizations & group practices 1
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.
-
- Physical Therapist
- Thousand Oaks, CA
- NPI 1336430560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1811532476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2166 N MOORPARK RD STE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605011",
"telephone_number": "805-370-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2166 N MOORPARK RD STE 200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605011",
"telephone_number": "805-370-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.