Individual provider Active NPI

Naomi P Miller, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1104156710
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16993 Issued in MD
Practice address
1220A E Joppa Rd Ste 234
Baltimore, MD 21286-5817
Phone
(410) 337-2470
Fax
(410) 337-2471
NPI assigned
Jan 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 16993 MD Primary

Addresses

Primary practice location

1220A E Joppa Rd Ste 234
Baltimore, MD 21286-5817

Mailing address

1220A E Joppa Rd Ste 234
Baltimore, MD 21286-5817
Phone (410) 337-2470

Other practice location 1

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 448-6323

Other names 1

  • Naomi Ruth Price Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16993MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

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": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1104156710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220A E JOPPA RD STE 234",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865817",
            "telephone_number": "410-337-2470",
            "fax_number": "410-337-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220A E JOPPA RD STE 234",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865817",
            "telephone_number": "410-337-2470",
            "fax_number": "410-337-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Kernan Dr",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212076665",
            "country_code": "US",
            "telephone_number": "410-448-6323",
            "fax_number": "410-448-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NAOMI",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "16993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "PRICE",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.