Active NPI
Shana Miller, PT
- Physical Therapist
- Beverly Hills, CA
National Provider Identifier
1962565440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28268
- Practice address
- 415 N Crescent Dr
Suite 130
Beverly Hills, CA 90210-4860 - Phone
- (310) 273-0877
- Fax
- (310) 273-1189
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT28268 | CA | Primary |
Addresses
Primary practice location
415 N Crescent Dr
Suite 130
Beverly Hills, CA 90210-4860
Mailing address
145 S Burlingame Ave
Los Angeles, CA 90049-2641
Phone (310) 273-0877
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28268 | CA | MD | Mental Health Counselor |
| PT28268 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adi Rehab, Incorporated | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962565440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 S BURLINGAME AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900492641",
"telephone_number": "310-273-0877",
"fax_number": "310-273-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CRESCENT DR",
"address_2": "SUITE 130",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104860",
"telephone_number": "310-273-0877",
"fax_number": "310-273-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHANA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
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.