NPIMap

Individual provider Active NPI

Nathan Paul Miller, PT

  • Physical Therapist
  • Brecksville, OH
National Provider Identifier
1295921104
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11781 Issued in OH
Practice address
6731 Old Royalton Rd
Brecksville, OH 44141-1825
Phone
(440) 623-1153
Fax
(440) 582-1333
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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 11781 OH Primary

Addresses

Primary practice location

6731 Old Royalton Rd
Brecksville, OH 44141-1825

Mailing address

6731 Old Royalton Rd
Brecksville, OH 44141-1825
Phone (440) 623-1153

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

LicenseStateTypeSpecialty
5414AZMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Tricounty Physical Therapy Physical Therapist Past Accepting new patients
Crystal Clinic, Inc. Past Accepting new patients
Center of Orthopedic Surgery Inc Past Accepting new patients
Crystal Clinic Inc Past Accepting new patients
Strength Training Inc Past Accepting new patients
Strength Training Inc Physical Therapist PastSince Oct 1, 2001 Accepting new patients
Tricounty Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 7

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1295921104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 OLD ROYALTON RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411825",
            "telephone_number": "440-623-1153",
            "fax_number": "440-582-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 OLD ROYALTON RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411825",
            "telephone_number": "440-623-1153",
            "fax_number": "440-582-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "11781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.