Individual provider Active NPI

Benjamin Miller, PT

  • Physical Therapist
  • Amarillo, TX
National Provider Identifier
1013498708
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1308296 Issued in TX
Practice address
3701 Olsen Blvd
Amarillo, TX 79109-3053
Phone
(806) 467-8181
Fax
(806) 467-8282
NPI assigned
Aug 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1308296 TX Primary

Addresses

Primary practice location

3701 Olsen Blvd
Amarillo, TX 79109-3053

Mailing address

3701 Olsen Blvd
Amarillo, TX 79109-3053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917000588 TX Practitioner - Physical Therapist in Private Practice 2466859459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Enhancement Therapy Inc.Group PAC ID 9638115629, 3 clinicians

Practice addresses (Care Compare)

3701 Olsen Blvd
Amarillo, TX 79109-3053
Phone (806) 467-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Enhancement Therapy Inc. Physical Therapist CurrentSince Aug 24, 2021 Accepting new patients

Locations

3701 Olsen Blvd
Unit A1
Amarillo, TX 79109
Phone (806) 467-8181

3701 Olsen Blvd
Amarillo, TX 79109
Phone (806) 220-1903

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1013498708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 OLSEN BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 OLSEN BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093053",
            "telephone_number": "806-467-8181",
            "fax_number": "806-467-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BENJAMIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1308296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.