J Miller Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

J MILLER PHYSICAL THERAPY LLC

Practice address

308 W Pine St
Missoula, MT 59802-4120

Phone

(406) 396-1304

NPI assigned

Feb 15, 2020

Organization subpart

No

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

Authorized official

Name

Jason C Miller, PTNPI 1790712503

Title

Physical Therapist/Owner

Phone

(406) 396-1304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason C Miller, PT

  • Physical Therapist
  • Missoula, MT
  • NPI 1790712503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581724800000",
    "number": "1265065569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060238",
            "telephone_number": "406-396-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W PINE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024120",
            "telephone_number": "406-396-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MILLER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-15",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "406-396-1304",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambrosia Isely, LCSW, ACLC
• Taylor Isom
• Tara Ivanovitch, LCSW, LAC
• Sage Iverson
• Calia Ivy
• Jacklyn Joan Tryhus LLC
• Beverly Jackson, LCPC
• Nils Jackson
• Rane Jackson
• Rebecca Katherine Pitt Jackson, OD

• Physical Therapy Clinic/Center in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapy Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.