Active NPI
Kathleen Miller, PHYSICAL THERAPIST
- Physical Therapist
- Festus, MO
National Provider Identifier
1962532697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- MO 01082
- Practice address
- #5 Industiral Drive
Festus, MO 63028 - Phone
- (636) 633-1162
- Fax
- (636) 933-1579
- NPI assigned
- Mar 6, 2007
- 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 | MO 01082 | MO | Primary |
Addresses
Primary practice location
#5 Industiral Drive
Festus, MO 63028
Mailing address
PO Box 350
Crystal City, MO 63019-0350
Phone (636) 633-1162
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 |
|---|---|---|---|
| MO 01082 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962532697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 350",
"city": "CRYSTAL CITY",
"state": "MO",
"postal_code": "630190350",
"telephone_number": "636-633-1162",
"fax_number": "636-933-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#5 INDUSTIRAL DRIVE",
"city": "FESTUS",
"state": "MO",
"postal_code": "63028",
"telephone_number": "636-633-1162",
"fax_number": "636-933-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KATHLEEN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "MO 01082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
- Brady O Miers, DC
- Courtney Leane Miles, PMHNP
- Mary Milfelt
- Millennium Medical P C
- Elizabeth A Miller
- Mindful Medicine & Wellness LLC
- Missouri CVS Pharmacy, L.L.C.
- Missouri Dental Professionals, Richard Straus, DMD, PC
- Missouri Dental Professionals, Richard Straus, DMD, PC
- Mobile Health Practitioners LLC
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.