Individual provider Active NPI

William Eric Miller II, DPT

  • Physical Therapist
  • Southport, NC
National Provider Identifier
1225317274
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P12796 Issued in NC
Practice address
1517 N Howe St Ste 4
Southport, NC 28461-2773
Phone
(910) 332-3800
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207813 VA
Physical Therapist 225100000X 6653 SC
Physical Therapist 225100000X P12796 NC Primary

Addresses

Primary practice location

1517 N Howe St Ste 4
Southport, NC 28461-2773

Mailing address

PO Box 5105
Belfast, ME 04915-5100

Other practice location 1

1424 Highway 17 N Ste 2
North Myrtle Beach, SC 29582-2507
Phone (843) 427-7132

Other practice location 2

5619 Carolina Beach Rd Ste 120
Wilmington, NC 28412-2815
Phone (910) 790-1976

Other practice location 3

1313 Carolina St Ste 105
Greensboro, NC 27401
Phone (336) 850-1561

Other identifiers 1

IdentifierTypeStateIssuer
P12796OtherNCPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727001229 NC Practitioner - Physical Therapist in Private Practice 1355584137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

1517 N Howe St
Southport, NC 28461-2772
Phone (910) 332-3800

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Emergeortho PA CurrentSince Aug 5, 2024 Accepting new patients

Locations

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

1517 N Howe St
Ste 4
Southport, NC 28461
Phone (910) 454-0064

1517 N Howe St
Southport, NC 28461
Phone (910) 519-8380

Interoperability endpoints

  • Direct secure messaging: william.miller.1@847.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1225317274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 N HOWE ST STE 4",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612773",
            "telephone_number": "910-332-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1424 Highway 17 N Ste 2",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295822507",
            "country_code": "US",
            "telephone_number": "843-427-7132",
            "fax_number": "843-427-7157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5619 Carolina Beach Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122815",
            "country_code": "US",
            "telephone_number": "910-790-1976",
            "fax_number": "910-790-1978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1313 Carolina St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "27401",
            "country_code": "US",
            "telephone_number": "336-850-1561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WILLIAM",
        "middle_name": "ERIC",
        "name_suffix": "II",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207813",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6653",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P12796",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.