JEREMY D MILLER (NPI# 1306499918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306499918 |
| Entity Type | Individual |
| Full Name | JEREMY D MILLER |
| Practice Address |
5151 Park Ave Fairfield CT 06825-1090 |
| Mailing Address |
343 Newbury St Springfield MA 01104-2524 |
| Practice Telephone | 4138964353 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
S47445874 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538792049 | Jeremy Edward Miller | Rehabilitation Practitioner | 5338 W Spaulding St, Boise, ID 83705-2741 | 2020-02-13 |
| 1093138307 | Jeremy S Miller | Specialist/Technologist | 3507 Midway School Rd, Winston Salem, NC 27107-8741 | 2014-01-23 |
| 1629309562 | Jeremy Michael Miller | Military Health Care Provider | 7th Esb Bas, Unit 42210, Fpo, AP 96427-2210 | 2010-01-15 |
| 1831728443 | Jeremy Brian Miller | Student in an Organized Health Care Education/Training Program | 1900 Electric Rd, Salem, VA 24153-7494 | 2020-04-06 |
| 1114551181 | Jeremy Christian Miller | Student in an Organized Health Care Education/Training Program | 800 Rose St, Lexington, KY 40506-0001 | 2020-02-27 |
| 1528554409 | Jeremy Eugene Miller | Massage Therapist | 4729 County Road 101, Minnetonka, MN 55345-2634 | 2018-07-03 |
| 1932615010 | Jeremy Miller | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-27 |
| 1912436445 | Jeremy Wilson Miller | Physical Therapist | 3121 E Madison St Ste 201, Seattle, WA 98112-4259 | 2017-06-08 |
| 1861938540 | Jeremy Miller | Counselor | 165 Quincy St, Brockton, MA 02302-2988 | 2017-01-18 |
| 1740738368 | Jeremy Anson Miller | Chiropractor | 2201 62nd Ave N, St Petersburg, FL 33702-5660 | 2016-09-12 |
| Street Address |
5151 PARK AVE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942282793 | Michael J Emery | Physical Therapist | 5151 Park Ave, Fairfield, CT 06825-1023 | 2005-11-17 |
| 1568063790 | Tyler Heckmann | Physician Assistant | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-11-04 |
| 1205437795 | Ashton Craig Ogle | Physician Assistant | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-11-03 |
| 1699381715 | Olivia Ray | Student in an Organized Health Care Education/Training Program | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-09-23 |
| 1417561457 | Courtney Jane Murray | Student in an Organized Health Care Education/Training Program | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-09-08 |
| 1760096812 | Melissa Kathleen Andrew | Physician Assistant | 5151 Park Ave, Fairfield, CT 06825-1000 | 2020-09-06 |
| 1093329781 | Alyssa Joyce Balz | Student in an Organized Health Care Education/Training Program | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-09-01 |
| 1720692395 | Kaitlyn Rose Rubnitz | Physician Assistant | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-09-01 |
| 1912535345 | Samantha Rae November | Specialist/Technologist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-03-31 |
| 1689202111 | Kimberly Malmborg | Specialist/Technologist | 5151 Park Ave, Fairfield, CT 06825-1090 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1376170076 | Amanda L Kuczo | Specialist/Technologist | 105 High Ridge Rd, Fairfield, CT 06825-2531 | 2020-03-24 |
| 1376184077 | Sydney Elaine Fuller | Specialist/Technologist | 190 Woodstock Dr, Fairfield, OH 45014-5246 | 2019-10-03 |
| 1518522168 | Alexandra Jones | Specialist/Technologist | 2432 Trevino Way, Fairfield, CA 94534-7524 | 2019-05-08 |
| 1578128997 | Bailey Schentrup | Specialist/Technologist | 4000 Suisun Valley Rd, Fairfield, CA 94534-4017 | 2019-05-02 |
| 1275098345 | Maria Jose Lequerica | Specialist/Technologist | 319 Old Stratfield Rd, Fairfield, CT 06825-4434 | 2019-02-04 |
| 1649772948 | Ronald Van Fullove II | Specialist/Technologist | 5500 Myron Massey Blvd, Fairfield, AL 35064-2621 | 2018-03-02 |
| 1841641727 | Jasmyne Marie Sexton | Specialist/Technologist | 5350 Camelot Dr Apt 13, Fairfield, OH 45014-4091 | 2016-06-22 |
| 1770944258 | Erica Argentati | Specialist/Technologist | 2153 Yorktown Ct, Fairfield, OH 45014-3843 | 2016-03-11 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in FAIRFIELD | ||||
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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.