KATHLEEN MILLER (DPT) – Physical Therapist, NPI 1447121272

KATHLEEN MILLER (DPT) is a healthcare provider. based in Becker, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 10865 (MN). The NPI Number for KATHLEEN MILLER (DPT) is 1447121272

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN MILLER (DPT)
NPI
1447121272
Phone
(763) 450-6672
Address
11175 27TH AVE SE
Enumeration Date
15 September 2025
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8004446845
Graduation Year
2017 (9 years ago)
PAC ID
4486141033
Group Practice PAC ID
5193036432
Professional Enrollment ID
I20251016001900
Address ID
MN553084774BE11175SEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for KATHLEEN MILLER (DPT)

  • 11175 27TH AVE SE

    BECKER, MN 553084774

    Phone: (763) 450-6672

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251016001900IPhysical Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193036432View full group profile
NameSpecialtyState
-MO
-AL
-IL
Qualified Speech Language PathologistFL
-MO
Occupational Therapist In Private PracticeUT
Physical Therapist In Private PracticeWI
-WI
-WI
-FL

Reviews

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Frequently asked questions

Does KATHLEEN MILLER (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHLEEN MILLER (DPT) uses 1447121272.
Can I rely on KATHLEEN MILLER (DPT) being an active provider?
As of the registry snapshot, KATHLEEN MILLER (DPT) is marked active.
What is KATHLEEN MILLER (DPT)'s primary classification?
Physical Therapist is the headline specialty for KATHLEEN MILLER (DPT) here. Clinical services aligned with this taxonomy classification.
Where is KATHLEEN MILLER (DPT) based?
KATHLEEN MILLER (DPT) is tied to Becker, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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