Active NPI
Alissa Marie Miller, MAT, LAT, ATC
- Athletic Trainer
- Meadville, PA
National Provider Identifier
1992150957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 321 Arch St Ste 101
Meadville, PA 16335-3214 - Phone
- (814) 333-7109
- NPI assigned
- Apr 27, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
321 Arch St Ste 101
Meadville, PA 16335-3214
Mailing address
17661 Marshall Rd
Meadville, PA 16335-9775
Phone (814) 573-9933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT006791 | Other | PA | STATE BOARD OF MEDICINE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Health Wellness Institute, PLLC | Current | Accepting new patients | |
| Whole Health Joint Replacement Institute, LLC | Current | Accepting new patients |
Locations
321 Arch St
Ste 101
Meadville, PA 16335
Phone (814) 333-7109
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_WHJ
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.
-
- Orthopaedic Surgery Physician
- Meadville, PA
- NPI 1487183331
-
- Public Health & General Preventive Medicine Physician
- Meadville, PA
- NPI 1063116119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1992150957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17661 MARSHALL RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163359775",
"telephone_number": "814-573-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 ARCH ST STE 101",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353214",
"telephone_number": "814-333-7109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ALISSA",
"middle_name": "MARIE",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF MEDICINE",
"identifier": "RT006791",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.