MR. TREVOR C MILLER (NPI# 1033736285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033736285 |
Entity Type | Individual |
Full Name | MR. TREVOR C MILLER |
Credential | CTRS |
Practice Address |
1601 E 4th Plain Blvd Vancouver WA 98661-3713 |
Mailing Address |
1601 E 4th Plain Blvd Mailstop V3crs Vancouver WA 98661 |
Practice Telephone | 3606964061 |
Mailing Telephone | 3606964061 |
Enumeration Date | 2020-07-02 |
Last Update Date | 2020-07-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | 57392 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCTRC | 57392 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811350259 | Trevor Miller | Student in an Organized Health Care Education/Training Program | Nyu Langone Medical Center 550 1st Ave, Ny, NY 10010 | 2016-04-02 |
1124389507 | Trevor Earl Miller | Dentist | 9900 Lincoln Street 2nd Floor, Tacoma, WA 98431 | 2012-06-02 |
1518987866 | Trevor Charles Miller | Chiropractor | 209 S State St, North Vernon, IN 47265-1818 | 2006-07-20 |
1407840226 | Trevor Dwayne Miller | Dentist | 2107 57th St, Sacramento, CA 95817-1713 | 2005-09-08 |
1619596590 | Trevor Edward Miller | Student in an Organized Health Care Education/Training Program | 1700 6th Ave N, Bessemer, AL 35020-4849 | 2020-04-10 |
1780215491 | Trevor Cole Miller | Counselor | 5016 Noel Polty Blvd, Bethel, AK 99559 | 2020-01-31 |
1790244556 | Trevor Miller | Student in an Organized Health Care Education/Training Program | 925 Seneca St, Seattle, WA 98101-2742 | 2019-03-19 |
1164811683 | Trevor Ross Miller | Chiropractor | 7765 Bodega Ave, Sebastopol, CA 95472-3575 | 2015-01-21 |
1104139542 | Trevor Miller | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2010-07-14 |
1386803120 | Trevor L. Miller | Physician Assistant | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2008-06-06 |
Street Address |
1601 E 4TH PLAIN BLVD |
City | VANCOUVER |
State | WA |
Zip Code | 98661-3713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215922083 | Margaret A Vajdos | Internal Medicine | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 | 2005-09-16 |
1316546179 | Patricia Anne O'brien | Psychologist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-22 |
1508464546 | Julia Houle-mccabe | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-12 |
1346850831 | Llonnelyn Josue | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-09 |
1417566399 | Edwina Laverne Lyon | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-28 |
1770192916 | Leanne D Nething | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-23 |
1629686092 | Courtney Leigh Geier | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-21 |
1265059430 | Zaharah Adam | Case Manager/Care Coordinator | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
1942827704 | Kelly Renee Braswell | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-28 |
1689291692 | Sara A Schmit | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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Taxonomy Code | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962416883 | Nancy Mcfarlane | Recreation Therapist | 1601 E Fourth Plain Blvd, Bldg D-7 Satp, Vancouver, WA 98661-3753 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871192567 | Chelsey Michelle Pangborn | Recreation Therapist | 4815 N Assembly St Bldg 31, Spokane, WA 99205-6185 | 2020-10-22 |
1629624424 | Helda K Fuchs | Recreation Therapist | 9119 E Boone Ave Ste C, Spokane Valley, WA 99206-4061 | 2019-08-16 |
1154883338 | Northwest Fishing Partner Registry | Recreation Therapist | 9028 11th Pl W, Everett, WA 98204-2693 | 2019-04-05 |
1730653692 | John Welker | Recreation Therapist | 1312 N Monroe St Ste 114, Spokane, WA 99201-2623 | 2019-01-14 |
1326526054 | Mani Dhami | Recreation Therapist | 31423 48th Ave S, Auburn, WA 98001-3718 | 2018-08-03 |
1689113631 | William Hawkes-robinson | Recreation Therapist | 1432 W Lawrence Dr, Spokane, WA 99218-2446 | 2017-02-22 |
1033500418 | Tyneshia C Alexander | Recreation Therapist | 10427 19th Ave Se Apt B, Everett, WA 98208-4261 | 2015-02-06 |
1184066730 | Ann Christine Powell | Recreation Therapist | 4727 S Assembly Rd, Spokane, WA 99224-5925 | 2013-07-24 |
1013353432 | Jacqueline Marie Smith | Recreation Therapist | 2616 Erwin Ave, Dupont, WA 98327-8758 | 2013-05-13 |
1871600478 | Vicki M Booth | Recreation Therapist | 9900 Veterans Dr, A-116-dom, Tacoma, WA 98493 | 2006-08-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.