Individual provider Active NPI

Marilyn Kay Miller, BA, PMA CPT, ACE CPT

  • Kinesiotherapist
  • Peekskill, NY
National Provider Identifier
1891223889
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
KinesiotherapistTaxonomy code 226300000X
Practice address
8 John Walsh Blvd Ste 428
Peekskill, NY 10566-5333
Phone
(914) 739-1178
Fax
(914) 739-1178
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Kinesiotherapist 226300000X Primary

Addresses

Primary practice location

8 John Walsh Blvd Ste 428
Peekskill, NY 10566-5333

Mailing address

8 John Walsh Blvd Ste 428
Peekskill, NY 10566-5333
Phone (914) 739-1178

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)
Not enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891223889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JOHN WALSH BLVD STE 428",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105665333",
            "telephone_number": "914-739-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JOHN WALSH BLVD STE 428",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105665333",
            "telephone_number": "914-739-1178",
            "fax_number": "914-739-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARILYN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "BA, PMA CPT, ACE CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.