Active NPI
Timothy Clarence Miller, PT
- Physical Therapist
- New Albany, IN
National Provider Identifier
1114016540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05005346A
- Practice address
- 2441 State St Ste 10
New Albany, IN 47150-4962 - Phone
- (812) 945-4500
- Fax
- (812) 945-4808
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05005346A | IN | Primary |
Addresses
Primary practice location
2441 State St Ste 10
New Albany, IN 47150-4962
Mailing address
2441 State St Ste 10
New Albany, IN 47150-4962
Phone (812) 945-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081020000326 | IN | Practitioner - Physical Therapist in Private Practice | 7517025588 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dr Bryan Guess LLC
Practice addresses (Care Compare)
2441 State St
Suite 10
New Albany, IN 47150-4962
Phone (812) 945-4500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Bryan Guess LLC | Current | Accepting new patients | |
| 1St Choice Medical Group, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2441 State St
Ste 10
New Albany, IN 47150
Phone (812) 945-4500
Organizations & group practices 3
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": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1114016540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 STATE ST STE 10",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504962",
"telephone_number": "812-945-4500",
"fax_number": "812-945-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 STATE ST STE 10",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504962",
"telephone_number": "812-945-4500",
"fax_number": "812-945-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TIMOTHY",
"middle_name": "CLARENCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05005346A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.