Active NPI
Rhondi L Miller, PT
- Physical Therapist
- Edina, MN
National Provider Identifier
1306840848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5433
- Practice address
- 5400 France Ave S
Edina, MN 55410 - Phone
- (952) 405-9765
- NPI assigned
- Jun 13, 2005
- Last updated
- Aug 14, 2018
- 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 | 5433 | MN | Primary |
Addresses
Primary practice location
5400 France Ave S
Edina, MN 55410
Mailing address
1769 Lexington Ave N # 286
Roseville, MN 55113-6522
Phone (528) 354-5129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40334800 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5006 | WI | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Balance Golf & Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Aagesen Chiropractic Clinic PA | Physical Therapist | Past | Accepting new patients |
| Gundersen Clinic LTD | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Occupational Therapist
- St Louis Park, MN
- NPI 1457431827
Physical Therapist
-
dba Body Balance for Performance
- Physical Therapist
- Bloomington, MN
- NPI 1023014859
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1306840848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 LEXINGTON AVE N # 286",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551136522",
"telephone_number": "528-354-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "55410",
"telephone_number": "952-405-9765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RHONDI",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40334800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.