Alexandra Laurel Miller, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

013477 Issued in OH

Practice address

4805 E Main Street
Berlin, OH 44610-4465

Phone

(330) 231-1442

NPI assigned

Jan 12, 2018

Last updated

Feb 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Berlin, OH
  • NPI 1548727043
  Medicare reassignment NPD Authorized official
• Promotion Therapy Inc.

  • Physical Therapy Clinic/Center
  • Millersburg, OH
  • NPI 1518218874
  NPD (past)

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1992213979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446100347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 E MAIN STREET",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446104465",
            "telephone_number": "330-231-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 N Washington St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "OH",
            "postal_code": "446541143",
            "country_code": "US",
            "telephone_number": "330-600-0844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALEXANDRA",
        "middle_name": "LAUREL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OH",
            "license": "013477",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "013477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Professionals of Holmes County, Inc (Pomerene Family Care)
• Health Professionals of Holmes County, Inc. (Pomerene Express Care)
• R Kim Kornhaus, MD
• Robert Lanchman, DDS
• Rodney Ray Mast, RPH
• Christine Diane Miller, DC
• Dawn R. Miller, FNP-BC
• James M. Miller, O.D.
• Jon E. Miller, MD
• Debra Lyn Mullet, RPH

• Orthopedic Physical Therapist in Berlin, OH
• Providers in Berlin, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.