Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Kae Miller, MPT

Individual provider Physical Therapist · NPI 1104075621

Kimberly Kae Miller, MPT is a Physical Therapist in Private Practice in Mount Vernon, Washington. Qualified in 1992, 34 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
34
Licensed in
WA
In the registry since
2008
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone: (360) 424-2400
Fax: (360) 424-2418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 00005665 (WA)

Record details

NPI number1104075621
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedSeptember 9, 2008
Last updated in NPPESDecember 30, 2013
Mailing address805 Madison St, Suite 901, Seattle, WA 98104-1172

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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