Active NPI
Kendall Rose Miller, PT, DPT
- Physical Therapist
- North Richland Hills, TX
National Provider Identifier
1306404207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1318488
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1318488 | Other | TX | PHYSICAL THERAPIST LICENSE NUMBER |
Other names 1
- Kendall Nicole Rose
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All in All Neuro Rehab and Wellness LLC | Physical Medicine & Rehabilitation | Current | 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.
-
- Physical Therapy Clinic/Center
- North Richland Hills, TX
- NPI 1942812821
Physical Medicine & Rehabilitation, TX
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.