Organization Active NPI

James Robert Miller

Doing business as Active Physical Therapy & Associates

  • Physical Therapist
  • Tracy, CA
National Provider Identifier
1336394030
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JAMES ROBERT MILLER
Doing business as
Active Physical Therapy & Associates
Practice address
1423 N Tracy Blvd
Tracy, CA 95376-3445
Phone
(209) 830-8855
Fax
(209) 830-8837
NPI assigned
Nov 21, 2008
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
James Robert Miller, PT, DCNPI 1992899587
Title
Owner
Phone
(209) 830-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1423 N Tracy Blvd
Tracy, CA 95376-3445

Mailing address

1423 N Tracy Blvd
Tracy, CA 95376-3445
Phone (209) 830-8855

Other names 1

  • Active Physical Therapy & Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1336394030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763445",
            "telephone_number": "209-830-8855",
            "fax_number": "209-830-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763445",
            "telephone_number": "209-830-8855",
            "fax_number": "209-830-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES ROBERT MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-830-8855",
        "authorized_official_credential": "PT, DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Physical Therapy & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.