Individual provider Active NPI

Taylor Miller, PT

  • Physical Therapist
  • Mountain View, CA
National Provider Identifier
1467422634
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19180 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 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

Enrollment IDStateProvider typePAC IDDetails
I20050516000178 CA Practitioner - Physical Therapist in Private Practice 2365483963 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
19180CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Physical Therapy, Inc. Physical Therapist CurrentSince Feb 17, 2005 Accepting new patients
Physiofit Physical Therapy & Wellness, P.C. Physical Therapist PastSince Nov 29, 2017 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.

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.

Verify at the official NPI Registry.