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Myisha Stratton

Physician β€’ Willow Grove, PA

Active NPI 1407638596 Individual Practitioner Female Practitioner
Practice location in NPPES

52 N York Rd
Willow Grove, PA 190903415

Call 2674539855 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

52 N York Rd

Willow Grove, PA 190903415

Telephone 2674539855
Fax 2153462555
Organization at the Same NPPES Address or Phone
D.d. Daughters Lace Wig Beautique, Llc Facility NPI 1205375706

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-24
Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

License # reported to NPPES PA CO222708L

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2026

Prosthetic/Orthotic Supplier (license number reported to NPPES: PA CO222708L)

πŸ‘€
Provider Name / Credentials Updated January 07, 2025

Recorded as MYISHA STRATTON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2025

Specialist (license number reported to NPPES: PA CO222708L)

βœ…
NPI Profile Active October 16, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 16, 2023

Registered at 52 N YORK RD, WILLOW GROVE, PA 190903415 (Tel: 2674539855)

πŸ“
Business Mailing Address (Initial Record) October 16, 2023

Registered at 402 W TABOR RD, PHILADELPHIA, PA 191202810 (Tel: 2674539855)

πŸ‘€
Provider Name / Credentials (Initial Record) October 16, 2023

Recorded as MYISHA MILLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2023

Specialist

🟒
Initial NPI Registration & Enumeration October 16, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407638596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2023
Last Update: March 24, 2026
Sole Proprietor: Yes

Mailing Address

402 W Tabor Rd

Philadelphia, PA 191202810

Phone: 2674539855

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.