Active NPI
Lance M Miller, PT
- Physical Therapist
- Everett, WA
National Provider Identifier
1447292453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1502 Hewitt Ave
Everett, WA 98201-3504 - Phone
- (425) 512-8695
- Fax
- (425) 512-8697
- NPI assigned
- Jun 12, 2006
- Last updated
- Sep 17, 2026
- 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 | Primary |
Addresses
Primary practice location
1502 Hewitt Ave
Everett, WA 98201-3504
Mailing address
1502 Hewitt Ave
Everett, WA 98201-3504
Phone (425) 512-8695
Other practice location 1
2205 Wall St
Everett, WA 98201-3761
Phone (425) 512-8695
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8931866 | Other | WA | L&I CRIME VICTIMS |
| P00034707 | Other | WA | RAILROAD MEDICARE |
| 7930039 | Other | WA | AETNA |
| 8335895 | Medicaid | WA | |
| 0223987 | Other | WA | DEPT. OF LABOR & INDUSTRY |
| 4788MI | Other | WA | REGENCE BLUE SHIELD |
| 470930529-98201-A013 | Other | WA | TRICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engineered Sports 2 PLLC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Past | Accepting new patients |
Locations
2205 Wall St
Everett, WA 98201
Phone (425) 512-8695
Organizations & group practices 2
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.
-
dba IRG Physical & Hand Therapy - Marysville
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1447292453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 HEWITT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013504",
"telephone_number": "425-512-8695",
"fax_number": "425-512-8697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 HEWITT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013504",
"telephone_number": "425-512-8695",
"fax_number": "425-512-8697"
}
],
"practiceLocations": [
{
"address_1": "2205 Wall St",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982013761",
"country_code": "US",
"telephone_number": "425-512-8695",
"fax_number": "425-512-8697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "LANCE",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8931866",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00034707",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7930039",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8335895",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR & INDUSTRY",
"identifier": "0223987",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "4788MI",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "470930529-98201-A013",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.