Active NPI
Nicole M. Miller, PT
- Physical Therapist
- Carlsbad, CA
National Provider Identifier
1194907030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34268
- Practice address
- 7760 El Camino Real
Suite a
Carlsbad, CA 92009-8553 - Phone
- (760) 634-9750
- Fax
- (760) 634-9752
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- 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 | PT34268 | CA | Primary |
Addresses
Primary practice location
7760 El Camino Real
Suite a
Carlsbad, CA 92009-8553
Mailing address
700 Garden View CT
Ste 103
Encinitas, CA 92024-2478
Phone (760) 632-6942
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT34268 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaspar Physical Therapy | Past | Accepting new patients | |
| Gaspar Physical Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Carlsbad, CA
- NPI 1013966985
-
- Public Health or Welfare Agency
- Carlsbad, CA
- NPI 1285829374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1194907030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 GARDEN VIEW CT",
"address_2": "STE 103",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920242478",
"telephone_number": "760-632-6942",
"fax_number": "760-632-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 EL CAMINO REAL",
"address_2": "SUITE A",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920098553",
"telephone_number": "760-634-9750",
"fax_number": "760-634-9752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NICOLE",
"middle_name": "M.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT34268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.