Carly Miller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01486800 Issued in NJ

Practice address

99 Kinderkamack Rd Ste 100
Westwood, NJ 07675-3012

Phone

(201) 383-0826

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1912621079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ATHENIA AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132613",
            "telephone_number": "908-399-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 100",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "201-383-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01486800",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "40QA01486800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Louise Messick, COTA
• Michael V. Macri, M.D., P.C.
• John A. Mikros, OPTICIAN
• Millenium Health Care Centers II, LLC (Care One at Valley Assisted Living)
• Millennium Healthcare Centers II, LLC (Care One at Valley)
• Maryann Miranda, LCADC
• Alimah Mitumbili
• Jannet Molina-Manteiga, LCSW, LAC
• Katherine Molinari, LAC
• Michael Molinaro, M.D.

• Physical Therapist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.