Individual provider Active NPI

Patrick Miller, PT, DPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1073033577
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12047 Issued in AL
Practice address
700 Valley Ave Ste C
Birmingham, AL 35209-3305
Phone
(205) 224-4147
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26786 MD
Physical Therapist 225100000X PTH12047 AL Primary

Addresses

Primary practice location

700 Valley Ave Ste C
Birmingham, AL 35209-3305

Mailing address

700 Valley Ave Ste C
Birmingham, AL 35209-3305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228000667 AL Practitioner - Physical Therapist in Private Practice 8527588979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Total Joint LLCGroup PAC ID 3072900711, 8 clinicians

Practice addresses (Care Compare)

700 Valley Ave
Suite C
Birmingham, AL 35209-3305
Phone (205) 224-4147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26786MDMDClinical Social Worker
PTH12047ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Total Joint LLC CurrentSince Jan 22, 2025 Accepting new patients

Locations

5518 Crestwood Blvd
Birmingham, AL 35212
Phone (205) 201-4245

5504 Crestwood Blvd
Ste B
Birmingham, AL 35212
Phone (205) 201-4245

700 Valley Ave
Ste C
Birmingham, AL 35209
Phone (205) 224-4147

5518 Crestwood Blvd
Birmingham, AL 35212
Phone (205) 201-4245

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1073033577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VALLEY AVE STE C",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VALLEY AVE STE C",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093305",
            "telephone_number": "205-224-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PATRICK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26786",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.