Individual provider Active NPI

Rachel Miller, PT, DPT

  • Physical Therapist
  • Egg Harbor Township, NJ
National Provider Identifier
1447786967
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01641600 Issued in NJ
Practice address
6106 Black Horse Pike Ste A3
Egg Harbor Township, NJ 08234-9703
Phone
(609) 415-2821
Fax
(609) 415-2831
NPI assigned
May 3, 2017
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 40QA01641600 NJ Primary

Addresses

Primary practice location

6106 Black Horse Pike Ste A3
Egg Harbor Township, NJ 08234-9703

Mailing address

6106 Black Horse Pike Ste A3
Egg Harbor Township, NJ 08234-9703
Phone (609) 415-2821

Other practice location 1

61 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 748-5400

Other practice location 2

610 5th Ave
Egg Harbor City, NJ 08215-4038
Phone (609) 576-2300

Other names 1

  • Rachel Carlson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326000196 NJ Practitioner - Physical Therapist in Private Practice 6002178431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Carlson LLCGroup PAC ID 7719104900, 6 clinicians

Practice addresses (Care Compare)

6106 Black Horse Pike
Suite A3
Egg Harbor TWP, NJ 08234-9703
Phone (609) 415-2821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01641600NJMDPhysical Therapist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1447786967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 BLACK HORSE PIKE STE A3",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349703",
            "telephone_number": "609-415-2821",
            "fax_number": "609-415-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 BLACK HORSE PIKE STE A3",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349703",
            "telephone_number": "609-415-2821",
            "fax_number": "609-415-2831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 W Jimmie Leeds Rd",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NJ",
            "postal_code": "082409102",
            "country_code": "US",
            "telephone_number": "609-748-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor City",
            "state": "NJ",
            "postal_code": "082154038",
            "country_code": "US",
            "telephone_number": "609-576-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RACHEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01641600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CARLSON",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.