KRISTY LEE MILLER (PT) – Physical Therapist, NPI 1104356369

KRISTY LEE MILLER (PT) is a healthcare provider. based in Shoreline, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 60014309 (WA). The NPI Number for KRISTY LEE MILLER (PT) is 1104356369

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY LEE MILLER (PT)
NPI
1104356369
Phone
(206) 715-2267
Address
5425 NE 197TH PL
Enumeration Date
19 June 2017
Last Update Date
19 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2065240124
Graduation Year
2008 (18 years ago)
PAC ID
9739450685
Group Practice PAC ID
8123928025
Professional Enrollment ID
I20170810002010
Address ID
WA981154815SE8028XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for KRISTY LEE MILLER (PT)

  • Northeast 197th Place, Shoreline, King County, Washington, 98043, United States

    SHORELINE, WA 981554323

    Phone: (206) 715-2267

    Type: Mailing

  • 8028, 35th Avenue Northeast, Wedgwood, Seattle, King County, Washington, 98115, United States

    SEATTLE, WA 981154815

    Phone: (206) 524-0124

    Fax: (206) 524-0125

    Type: Location

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: 2017-08-10

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
I20170810002010IPhysical Therapist In Private PracticeWATBD

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 98155)

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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: 8123928025View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is KRISTY LEE MILLER (PT) listed with a National Provider Identifier?
Yes — KRISTY LEE MILLER (PT) has NPI 1104356369 on file in the registry.
Is KRISTY LEE MILLER (PT) still an active registrant?
KRISTY LEE MILLER (PT) carries an active NPI according to the public dataset.
What clinical focus is listed for KRISTY LEE MILLER (PT)?
At a glance, KRISTY LEE MILLER (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Washington is KRISTY LEE MILLER (PT) registered?
Use Shoreline, Washington as the headline location for KRISTY LEE MILLER (PT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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