Individual provider Active NPI

Kendall Rose Miller, PT, DPT

  • Physical Therapist
  • North Richland Hills, TX
National Provider Identifier
1306404207
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1318488 Issued in TX
Practice address
6913 Jessica CT
North Richland Hills, TX 76182-3667
Phone
(214) 458-3588
Fax
(469) 532-0740
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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 1318488 TX Primary

Addresses

Primary practice location

6913 Jessica CT
North Richland Hills, TX 76182-3667

Mailing address

6913 Jessica CT
North Richland Hills, TX 76182-3667
Phone (214) 458-3588

Other identifiers 1

IdentifierTypeStateIssuer
1318488OtherTXPHYSICAL THERAPIST LICENSE NUMBER

Other names 1

  • Kendall Nicole Rose Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726001803 TX Practitioner - Physical Therapist in Private Practice 8628304706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All in All Neuro Rehab and Wellness LLCGroup PAC ID 5799197232, 18 clinicians

Practice addresses (Care Compare)

North Richland Hills, TX 76182
Phone (214) 458-3588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All in All Neuro Rehab and Wellness LLC Physical Medicine & Rehabilitation CurrentSince Aug 10, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1306404207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 JESSICA CT",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761823667",
            "telephone_number": "214-458-3588",
            "fax_number": "469-532-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 JESSICA CT",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761823667",
            "telephone_number": "214-458-3588",
            "fax_number": "469-532-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENDALL",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1318488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE NUMBER",
            "identifier": "1318488",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "ROSE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.