Active NPI
Brian L Miller, PT, MS
- Physical Therapist
- Kalispell, MT
National Provider Identifier
1437148277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1424PT
- Practice address
- 175 Commons Loop
Suite 100
Kalispell, MT 59901-1904 - Phone
- (406) 752-7250
- Fax
- (406) 752-6250
- NPI assigned
- Oct 14, 2005
- Sex
- Male
- 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 | 1424PT | MT | Primary |
Addresses
Primary practice location
175 Commons Loop
Suite 100
Kalispell, MT 59901-1904
Mailing address
175 Commons Loop
Suite 100
Kalispell, MT 59901-1904
Phone (406) 752-7250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0179530 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Commons Loop
Suite 100
Kalispell, MT 59901-1904
Phone (406) 752-7250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1424PT | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation Services LLC | Current | Accepting new patients |
Locations
200 Commons Way
Ste B
Kalispell, MT 59901
Phone (406) 752-5170
175 Commons Loop
Ste 100
Kalispell, MT 59901
Phone (406) 751-4200
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
- Kalispell, MT
- NPI 1508084641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1437148277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 COMMONS LOOP",
"address_2": "SUITE 100",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599011904",
"telephone_number": "406-752-7250",
"fax_number": "406-752-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 COMMONS LOOP",
"address_2": "SUITE 100",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599011904",
"telephone_number": "406-752-7250",
"fax_number": "406-752-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRIAN",
"middle_name": "L",
"credential": "PT, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1424PT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0179530",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.