Individual provider Active NPI

Daniel P. Miller, P.T.

  • Physical Therapist
  • Oak Creek, WI
National Provider Identifier
1083734636
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5703-024 Issued in WI
Practice address
8619 S Howell Ave
Oak Creek, WI 53154-2919
Phone
(414) 856-1888
Fax
(414) 727-5779
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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 5703-024 WI Primary

Addresses

Primary practice location

8619 S Howell Ave
Oak Creek, WI 53154-2919

Mailing address

8619S Howell Ave
Oak Creek, WI 53154-2919
Phone (414) 856-1888

Other identifiers 1

IdentifierTypeStateIssuer
40292300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000846 WI Practitioner - Physical Therapist in Private Practice 3072698836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Orthopedic Specialty Hospital, LLCGroup PAC ID 7113078833, 65 clinicians

Practice addresses (Care Compare)

5700 S 108TH St
Hales Corners, WI 53130-1911
Phone (414) 567-3022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5703-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Mar 1, 2022 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC CurrentSince Mar 1, 2022 Accepting new patients
Midwest Orthopedic Specialty Hospital, LLC Current Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients
Therapy Plus of Wisconsin LLC Physical Therapist Past Accepting new patients
Sports Physical Therapy & Rehab Specialists, S.C. Physical Therapist Past Accepting new patients

Locations

7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620

5700 S 108th St
Hales Corners, WI 53130
Phone (414) 239-9448

3825 39th Ave
Ste 110
Kenosha, WI 53144
Phone (262) 605-6810

3033 W Layton Ave
Ste 202
Milwaukee, WI 53221
Phone (414) 567-3022

8619 S Howell Ave
Ste 260
Oak Creek, WI 53154

8619 S Howell Ave
Oak Creek, WI 53154
Phone (414) 405-6727

Organizations & group practices 6

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1083734636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542919",
            "telephone_number": "414-856-1888",
            "fax_number": "414-727-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542919",
            "telephone_number": "414-856-1888",
            "fax_number": "414-727-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANIEL",
        "middle_name": "P.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5703-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40292300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.