Active NPI
Taylor Miller, PT
- Physical Therapist
- Mountain View, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19180
- Practice address
- 515 South Dr Ste 12
Mountain View, CA 94040-4209 - Phone
- (650) 559-0011
- Fax
- (650) 559-0012
- NPI assigned
- Jan 23, 2006
- Last updated
- Jun 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19180 | CA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT19180 | CA |
Addresses
Primary practice location
515 South Dr Ste 12
Mountain View, CA 94040-4209
Mailing address
515 South Dr Ste 12
Mountain View, CA 94040-4209
Phone (650) 559-0011
Other practice location 1
5050 El Camino Real
210
Los Altos, CA 94022-1530
Phone (650) 559-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
515 S Dr
Suite 12
Mountain View, CA 94040-4209
Phone (650) 559-0011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19180 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Physiofit Physical Therapy & Wellness, P.C. | Physical Therapist | Past | Accepting new patients |
| Kimberly Gladfelter | Past | Accepting new patients |
Locations
5050 El Camino Real
Ste 210
Los Altos, CA 94022
Phone (650) 559-0011
515 South Dr
Ste 12
Mountain View, CA 94040
Phone (650) 559-0011
Organizations & group practices 3
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.
-
- Physical Therapist
- Mountain View, CA
- NPI 1629048590
-
dba Physiofit Physical Therapy
- Physical Therapy Clinic/Center
- Los Altos, CA
- NPI 1881650505
-
- Orthopedic Physical Therapist
- Los Altos, CA
- NPI 1326549965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1467422634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SOUTH DR STE 12",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404209",
"telephone_number": "650-559-0011",
"fax_number": "650-559-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 SOUTH DR STE 12",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404209",
"telephone_number": "650-559-0011",
"fax_number": "650-559-0012"
}
],
"practiceLocations": [
{
"address_1": "5050 El Camino Real",
"address_2": "210",
"address_purpose": "LOCATION",
"city": "Los Altos",
"state": "CA",
"postal_code": "940221530",
"country_code": "US",
"telephone_number": "650-559-0011",
"fax_number": "650-559-0012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "TAYLOR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT19180",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT19180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.