Provider Demographics
NPI:1508059668
Name:MILLER, JANET A, (PT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:A,
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:664 STONELEIGH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3940
Mailing Address - Country:US
Mailing Address - Phone:845-278-8400
Mailing Address - Fax:845-278-4326
Practice Address - Street 1:657 E MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3423
Practice Address - Country:US
Practice Address - Phone:914-666-5550
Practice Address - Fax:914-241-4206
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWCJ511Medicare PIN
NYA400081572Medicare PIN