Active NPI
Sandra Annetta Miller, PT, CIE
- Physical Therapist
- Centennial, CO
National Provider Identifier
1902425762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0003353
- Practice address
- 9000 E Nichols Ave Ste 104
Centennial, CO 80112-3429 - Phone
- (844) 274-6849
- NPI assigned
- Apr 13, 2020
- 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 | 0003353 | CO | Primary |
Addresses
Primary practice location
9000 E Nichols Ave Ste 104
Centennial, CO 80112-3429
Mailing address
12074 W 85TH Ave
Arvada, CO 80005-1164
Phone (303) 507-3008
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003353 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Briotix LP. | 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.
-
- Prevention Professional
- Centennial, CO
- NPI 1447798517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1902425762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12074 W 85TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800051164",
"telephone_number": "303-507-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 E NICHOLS AVE STE 104",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123429",
"telephone_number": "844-274-6849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SANDRA",
"middle_name": "ANNETTA",
"credential": "PT, CIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-13",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0003353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.