Individual provider Active NPI

Summer Miller

  • Physical Therapist
  • Richmond, KY
National Provider Identifier
1417844796
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003938 Issued in KY
Practice address
235 Boggs LN Ste 9
Richmond, KY 40475-3325
Phone
(859) 972-8631
Fax
(859) 972-8630
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 003938 KY Primary

Addresses

Primary practice location

235 Boggs LN Ste 9
Richmond, KY 40475-3325

Mailing address

104 Rosemary Cir
Richmond, KY 40475-8539
Phone (931) 220-3216

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818001369 KY Practitioner - Physical Therapist in Private Practice 3870092802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

235 Boggs LN
Suite 9
Richmond, KY 40475-2521

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Jul 1, 2025 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Jul 1, 2025 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients

Locations

875 Pennsylvania Ave
#A
Bardstown, KY 40004
Phone (502) 349-6961

1650 Bryan Station Rd
Ste 122
Lexington, KY 40505
Phone (859) 293-6133

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

Organizations & group practices 4

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1417844796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ROSEMARY CIR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758539",
            "telephone_number": "931-220-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BOGGS LN STE 9",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753325",
            "telephone_number": "859-972-8631",
            "fax_number": "859-972-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUMMER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.