Physician Compare National (NPI:1992213979)

HEALTHCARE PROVIDER: ALEXANDRA LAUREL MILLER DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1992213979
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3779824354
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190507001861
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MILLER
	Individual professional last name
Provider First Name	ALEXANDRA
	Individual professional first name
Provider Middle Name	LAUREL
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4805 E MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	PO BOX 347
	Group Practice or individual's line 2 address
City	BERLIN
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	44610
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y