Active NPI
Colten Avery Miller, PT, DPT
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1881459964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-07529
- Practice address
- 9120 Metcalf Ave
Overland Park, KS 66212-1408 - Phone
- (913) 257-5627
- NPI assigned
- Feb 16, 2024
- Sex
- Male
- 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 | 11-07529 | KS | Primary |
Addresses
Primary practice location
9120 Metcalf Ave
Overland Park, KS 66212-1408
Mailing address
9120 Metcalf Ave
Overland Park, KS 66212-1408
Phone (816) 810-4233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9506 Nall Ave
Overland Park, KS 66207-2950
Phone (913) 912-1096
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laughlin Performance & Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
9506 Nall Ave
Overland Park, KS 66207
Phone (913) 912-1096
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.
-
- Physical Therapist
- Overland Park, KS
- NPI 1194093534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1881459964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9120 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121408",
"telephone_number": "816-810-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121408",
"telephone_number": "913-257-5627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "COLTEN",
"middle_name": "AVERY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-07529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.