Individual provider Active NPI

Vicki Jane Miles, P.T.

  • Physical Therapist
  • Chaska, MN
National Provider Identifier
1912101411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2046 Issued in MN
Practice address
1661 Park Ridge Dr
Chaska, MN 55318-2841
Phone
(952) 403-3981
Fax
(952) 403-3979
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2046 MN Primary

Addresses

Primary practice location

1661 Park Ridge Dr
Chaska, MN 55318-2841

Mailing address

110904 Von Hertzen Cir
Chaska, MN 55318-2708
Phone (952) 448-5949

Other names 1

  • Vicki Jane Pyles Former name

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

LicenseStateTypeSpecialty
2046MNMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: vmiles16815@excellian.direct.allina.com

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912101411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110904 VON HERTZEN CIR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182708",
            "telephone_number": "952-448-5949",
            "fax_number": "952-403-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 PARK RIDGE DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182841",
            "telephone_number": "952-403-3981",
            "fax_number": "952-403-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "VICKI",
        "middle_name": "JANE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "PYLES",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.