Individual provider Active NPI

Timothy Robert Miller, PT

  • Physical Therapist
  • Voorhees, NJ
National Provider Identifier
1467020404
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP057898T Issued in NJ
Practice address
900 Centennial Blvd Ste 203
Voorhees, NJ 08043-4637
Phone
(856) 325-6674
NPI assigned
Jun 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP057898T NJ Primary
Physical Therapist 225100000X PT029512 PA

Addresses

Primary practice location

900 Centennial Blvd Ste 203
Voorhees, NJ 08043-4637

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

4853 Pulaski Hwy Ste 315
Perryville, MD 21903-1626
Phone (443) 693-8000

Other practice location 2

229 Arch St Unit 112
Philadelphia, PA 19106-1974
Phone (267) 236-1025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210623000236 MD Practitioner - Physical Therapist in Private Practice 3274934658 Reassigns benefits to 2 organizations
I20210915000062 PA Practitioner - Physical Therapist in Private Practice 3274934658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

229 Arch St
Philadelphia, PA 19106-1974
Phone (267) 236-1025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029512PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Wallace & Nilan Physical Therapy and Fitness, LLC Physical Therapist PastSince Jan 1, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

4853 Pulaski Hwy
Ste 315
Perryville, MD 21903
Phone (443) 693-8000

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

1608 Walnut St
Ste 200
Philadelphia, PA 19103
Phone (215) 545-8717

180 W Girard Ave
Ste 1
Philadelphia, PA 19123
Phone (267) 592-4033

118 Townsedge Dr
Quarryville, PA 17566
Phone (717) 806-5126

Organizations & group practices 5

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1467020404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL BLVD STE 203",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434637",
            "telephone_number": "856-325-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4853 Pulaski Hwy Ste 315",
            "address_purpose": "LOCATION",
            "city": "Perryville",
            "state": "MD",
            "postal_code": "219031626",
            "country_code": "US",
            "telephone_number": "443-693-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 Arch St Unit 112",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191061974",
            "country_code": "US",
            "telephone_number": "267-236-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "CP057898T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.