Active NPI
Lucille Miller, PT
- Physical Therapist
- Merrimack, NH
National Provider Identifier
1386718286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0726
- Practice address
- 11 Continental Blvd Ste a
Merrimack, NH 03054-4341 - Phone
- (603) 424-1950
- Fax
- (603) 424-4749
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 0726 | NH | Primary |
Addresses
Primary practice location
11 Continental Blvd Ste a
Merrimack, NH 03054-4341
Mailing address
11 Continental Blvd Ste a
Merrimack, NH 03054-4341
Phone (603) 424-1950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0726 | Other | NH | PT LICENSE # |
| 30004221 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Continental Blvd
Suite a
Merrimack, NH 03054-4341
Phone (603) 424-1950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0726 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DTS, Inc. Therapy, Rehab & Exercise | Physical Therapist | Current | Accepting new patients |
Locations
9 Executive Park Dr
Ste 100
Merrimack, NH 03054
Phone (603) 424-1950
11 Continental Blvd
Ste A
Merrimack, NH 03054
Phone (603) 424-1950
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": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1386718286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CONTINENTAL BLVD STE A",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544341",
"telephone_number": "603-424-1950",
"fax_number": "603-424-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CONTINENTAL BLVD STE A",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544341",
"telephone_number": "603-424-1950",
"fax_number": "603-424-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LUCILLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "0726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE #",
"identifier": "0726",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004221",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.