Individual provider Active NPI

Brian A Miller, PT, DPT

  • Physical Therapist
  • Cranford, NJ
National Provider Identifier
1124453998
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01513900 Issued in NJ
Practice address
210 North Ave E Ste 1
Cranford, NJ 07016-2491
Phone
(908) 276-0237
Fax
(908) 276-5692
NPI assigned
Sep 11, 2013
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 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 40QA01513900 NJ Primary

Addresses

Primary practice location

210 North Ave E Ste 1
Cranford, NJ 07016-2491

Mailing address

PO Box 416495
Boston, MA 02241-1014
Phone (631) 580-5200

Other practice location 1

1180 Raritan Rd
Clark, NJ 07066-1311
Phone (908) 276-2626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008000589 NJ Practitioner - Physical Therapist in Private Practice 7719111673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

109 Route 46
Denville, NJ 07834-2776
Phone (973) 625-0744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01513900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Sep 16, 2013 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Sep 16, 2013 Accepting new patients

Locations

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

1180 Raritan Rd
Clark, NJ 07066
Phone (848) 308-4515

20 Commerce Dr
Ste 210
Cranford, NJ 07016

210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1124453998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416495",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411014",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH AVE E STE 1",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162491",
            "telephone_number": "908-276-0237",
            "fax_number": "908-276-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Raritan Rd",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661311",
            "country_code": "US",
            "telephone_number": "908-276-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01513900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.