Active NPI
Bradley Christopher Miller, DPT
- Physical Therapist
- Alexandria, VA
National Provider Identifier
1154094860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10983R
- Practice address
- 2501 Parkers LN
Alexandria, VA 22306-3209 - Phone
- (702) 664-7190
- NPI assigned
- Jul 28, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | CP032046T | MD | |
| Physical Therapist | 225100000X | 10983R | LA | Primary |
| Neurology Physical Therapist | 2251N0400X | PT210002158 | DC | |
| Neurology Physical Therapist | 2251N0400X | CP025955T | VA |
Addresses
Primary practice location
2501 Parkers LN
Alexandria, VA 22306-3209
Mailing address
9812 Winding Trail Dr
Ocean City, MD 21842-9331
Other practice location 1
5275 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 364-7665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3401 38TH St NW
Apt 725
Washington, DC 20016-3044
Phone (202) 505-4806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Neurorehabilitation and Wellness LLC | Physical Therapist | Current | 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.
-
- Neurology Physical Therapist
- Washington, DC
- NPI 1487490850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1154094860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9812 WINDING TRAIL DR",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218429331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 PARKERS LN",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063209",
"telephone_number": "702-664-7190"
}
],
"practiceLocations": [
{
"address_1": "5275 Loughboro Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162633",
"country_code": "US",
"telephone_number": "202-364-7665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "BRADLEY",
"middle_name": "CHRISTOPHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-28",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "MD",
"license": "CP032046T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "10983R",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "DC",
"license": "PT210002158",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "VA",
"license": "CP025955T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.