Active NPI
Teresa D Miller, PT
- Physical Therapist
- Fair Oaks, CA
National Provider Identifier
1821056946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41507
- Practice address
- 8146 Greenback LN
Suite 103a
Fair Oaks, CA 95628-2551 - Phone
- (402) 676-1702
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 41507 | CA | Primary |
Addresses
Primary practice location
8146 Greenback LN
Suite 103a
Fair Oaks, CA 95628-2551
Mailing address
8146 Greenback LN
Suite 103a
Fair Oaks, CA 95628-2551
Phone (402) 676-1702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257 | NE | MD | Registered Dietitian |
| 41507 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare3, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rehabilitation Practitioner
- Omaha, NE
- NPI 1942266945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1821056946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8146 GREENBACK LN",
"address_2": "SUITE 103A",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956282551",
"telephone_number": "402-676-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8146 GREENBACK LN",
"address_2": "SUITE 103A",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956282551",
"telephone_number": "402-676-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TERESA",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.