Krystal Alycia Miller, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA012431 Issued in OH

Practice address

1316 Sackett Ave Apt 21
Cuyahoga Falls, OH 44223-2361

Phone

(616) 422-2208

NPI assigned

Jul 25, 2022

Last updated

Jul 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1922734821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SACKETT AVE APT 21",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232361",
            "telephone_number": "616-422-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 SACKETT AVE APT 21",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232361",
            "telephone_number": "616-422-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRYSTAL",
        "middle_name": "ALYCIA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA012431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Patrick Miller
• Jann Kohn Miller, PHD
• Joyce Miller
• Kenneth Miller, CRNA
• Kimberly A Miller, D.O.
• Laura Miller
• Maurice M Miller, LPN
• Stephen Gerald Miller, D.O.
• Ty J Miller, OD
• Nkiru Kendra Mills, DO

• Physical Therapy Assistant in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.