Individual provider Active NPI

Elizabeth Anne Miletich, DPT

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1932872694
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210400 Issued in VA
Practice address
5916 Blackhorse LN
Roanoke, VA 24018-4602
Phone
(828) 582-6829
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP049395T NC
Physical Therapist 225100000X 2305210400 VA Primary
Physical Therapist 225100000X CP052287T GA

Addresses

Primary practice location

5916 Blackhorse LN
Roanoke, VA 24018-4602

Mailing address

5916 Blackhorse LN
Roanoke, VA 24018-4602
Phone (828) 582-6829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260416001284 NC Practitioner - Physical Therapist in Private Practice 5799176293 Reassigns benefits to 1 organization
I20260610003638 GA Practitioner - Physical Therapist in Private Practice 5799176293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1 On 1 Physical Therapy LLCGroup PAC ID 4284997222, 8 clinicians

Practice addresses (Care Compare)

15 Possum Trot Rd
Suite 5
Asheville, NC 28806-9307
Phone (828) 785-8388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP052287TGAMDPhysical Therapist
CP049395TNCMDPhysical Therapist
2305210400VAMDPhysical Therapist

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1932872694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 BLACKHORSE LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184602",
            "telephone_number": "828-582-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 BLACKHORSE LN",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184602",
            "telephone_number": "828-582-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILETICH",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP049395T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210400",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP052287T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.