DEREK LEE MILES (NPI# 1174047815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174047815 |
| Entity Type | Individual |
| Full Name | DEREK LEE MILES |
| Credential | PT |
| Practice Address |
1195 W Fremont Ave Sunnyvale CA 94087-3832 |
| Mailing Address |
870 E El Camino Real Apt 47 Mountain View CA 94040-2824 |
| Practice Telephone | 4084265590 |
| Mailing Telephone | 3523596454 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
293178 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285724682 | Derek Van Miles | Dentist | 316 Stephenson Avenue, Savannah, GA 31405 | 2006-10-14 |
| 1407887391 | Derek Miles | Urology | 907 E Sunflower Rd, Suite 103, Cleveland, MS 38732-2830 | 2006-07-06 |
| Street Address |
1195 W FREMONT AVE |
| City | SUNNYVALE |
| State | CA |
| Zip Code | 94087-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578876199 | Jie Deng | Obstetrics & Gynecology | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2010-07-24 |
| 1700428737 | Tracy Jordan | Psychologist | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-10-10 |
| 1205390655 | Rachel Sara Christensen | Physical Medicine & Rehabilitation | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-01-29 |
| 1366906109 | Sarah Constance Harris | Nurse Practitioner | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2019-01-25 |
| 1376023721 | Salinda Chan | Physical Therapist | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2018-08-15 |
| 1275827404 | Derek Chu | Dermatology | 1195 W Fremont Ave, Sunnyvale, CA 94087-3832 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417597642 | Care Comfort Cure A Professional Corporation | Acupuncturist | 877 W Fremont Ave, Ste. I-3, Sunnyvale, CA 94087 | 2020-01-15 |
| 1629632658 | Amy Valentine | Social Worker | Stanford Children's Health Specialty Clinics, 1195 West Fremont Ave, Sunnyvale, CA 94087 | 2019-04-25 |
| 1144707043 | Fremont Union High School District | Community/Behavioral Health | 591 W Fremont Ave, Sunnyvale, CA 94087 | 2018-07-24 |
| 1245737170 | Bintu Baby | Nurse Practitioner | 576 E El Camino Real # 9700, Sunnyvale, CA 94087 | 2018-04-08 |
| 1619484094 | Jenny Giang | Pharmacist | 103 El Camino Real, Sunnyvale, CA 94087 | 2018-01-06 |
| 1073042347 | Melvin James Ezaki | Pharmacist | 1165 W. El Camino Real, Sunnyvale, CA 94087 | 2017-06-08 |
| 1053862466 | Wei Wang | Acupuncturist | 500 E Remington Dr. #25, Sunnyvale, CA 94087 | 2016-10-20 |
| 1083164016 | Greenschema Inc. | Marriage & Family Therapist | 575 Dunholmeway, Sunnyvale, CA 94087 | 2016-10-13 |
| 1558718106 | Neta Shani | Acupuncturist | 500e Remington Dr #25, Sunnyvale, CA 94087 | 2016-05-24 |
| 1396113635 | Megan M Kolda | Counselor | 814 Mulberry Ln, Sunnyvale, CA 94087 | 2015-09-03 |
| Find all providers in zip 94087 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443837 | Coastal Physical Therapy and Sports Rehabilitation | Physical Therapist | 258 Lombard St, Thousand Oaks, CA 91360-5806 | 2020-06-29 |
| 1992335509 | Ashton Pickle | Physical Therapist | 150 Loma Ln, San Clemente, CA 92672-4721 | 2020-01-23 |
| 1083262976 | Lana Aziz-oglii | Physical Therapist | 2791 Brimhall Dr, Los Alamitos, CA 90720-4905 | 2019-09-03 |
| 1174080931 | Mmt Physical Therapy Inc | Physical Therapist | 3040 Larkin St, San Francisco, CA 94109-1116 | 2019-02-27 |
| 1649737982 | La Orthopedic and Pediatric Physical Therapy | Physical Therapist | 16055 Ventura Blvd Ste 825, Encino, CA 91436-2617 | 2019-02-22 |
| 1225505894 | Haley Tarryn Hawes | Physical Therapist | 12401 Wilshire Blvd Ste 105, Los Angeles, CA 90025-1015 | 2018-10-31 |
| 1629561667 | Jason Chan Hyung Park | Physical Therapist | 2440 W Carson St, Torrance, CA 90501-3146 | 2018-06-13 |
| 1447757125 | Anthony G Tam | Physical Therapist | 5030 Bonita Rd Ste B, Bonita, CA 91902-1700 | 2018-04-10 |
| 1730606468 | Joseph Anthony Santistevan | Physical Therapist | 1975 Maricopa Hwy Spc 19, Ojai, CA 93023-2365 | 2017-08-24 |
| 1124541016 | Max Biessmann | Physical Therapist | 28202 Cabot Rd Ste 150, Laguna Niguel, CA 92677-1250 | 2017-07-21 |
| Find all providers with the same taxonomy | ||||
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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.