Individual provider Active NPI

Monica Miller, P.T.A.

  • Physical Therapy Assistant
  • Anchorage, AK
National Provider Identifier
1972968980
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
115397 Issued in AK
Practice address
12201 Industry Way
Ste 4
Anchorage, AK 99515-4316
Phone
(907) 677-9653
Fax
(907) 677-9657
NPI assigned
Dec 17, 2015
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 115397 AK Primary

Addresses

Primary practice location

12201 Industry Way
Ste 4
Anchorage, AK 99515-4316

Mailing address

12201 Industry Way
Ste 4
Anchorage, AK 99515-4316
Phone (907) 677-9653

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

LicenseStateTypeSpecialty
115397AKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1972968980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 INDUSTRY WAY",
            "address_2": "STE 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154316",
            "telephone_number": "907-677-9653",
            "fax_number": "907-677-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 INDUSTRY WAY",
            "address_2": "STE 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995154316",
            "telephone_number": "907-677-9653",
            "fax_number": "907-677-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MONICA",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "115397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.