Active NPI
James Russell Miller, DPT
- Physical Therapist
- Richmond, VA
National Provider Identifier
1467540385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203840
- Practice address
- 4831 S Laburnum Ave
Richmond, VA 23231-2713 - Phone
- (804) 222-0745
- Fax
- (804) 222-0748
- NPI assigned
- Oct 10, 2006
- 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 | 2305203840 | VA | Primary |
Addresses
Primary practice location
4831 S Laburnum Ave
Richmond, VA 23231-2713
Mailing address
771 Pilot House Dr
Newport News, VA 23606-1990
Phone (757) 873-2302
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342327 | Other | VA | BCBS (PHYSICAL THERAPY) |
| 1467540385 | Medicaid | VA |
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 |
|---|---|---|---|
| Ashland Physical Therapy Associates Inc | Physical Therapist | Past | Accepting new patients |
| Susan Archer, Inc | Past | Accepting new patients | |
| Richmond Physical Therapy Corp | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Ashland, VA
- NPI 1255300190
-
- Physical Therapist
- Richmond, VA
- NPI 1518936459
-
- Clinical Social Worker
- Glen Allen, VA
- NPI 1265766208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1467540385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 PILOT HOUSE DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236061990",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4831 S LABURNUM AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232312713",
"telephone_number": "804-222-0745",
"fax_number": "804-222-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JAMES",
"middle_name": "RUSSELL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS (PHYSICAL THERAPY)",
"identifier": "342327",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467540385",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.