Individual provider Active NPI

Jacob M Miller, DPT

  • Physical Therapist
  • Denton, TX
National Provider Identifier
1477080695
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1291448 Issued in TX
Practice address
9412 Ed Robson Blvd
Denton, TX 76207
Phone
(682) 999-8766
Fax
(682) 444-7265
NPI assigned
May 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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 1291448 TX Primary

Addresses

Primary practice location

9412 Ed Robson Blvd
Denton, TX 76207

Mailing address

PO Box 176
Argyle, TX 76226-0176
Phone (682) 999-8766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220509001556 TX Practitioner - Physical Therapist in Private Practice 1557748746 Reassigns benefits to 1 organization
Practice locations: Denton, TX

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9412 Ed Robson Cir
Denton, TX 76207-6697
Phone (940) 247-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1291448TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Therapy Holdings PLLC Physical Therapist CurrentSince Nov 30, 2025 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist PastSince Jul 1, 2022 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist PastSince Jul 1, 2022 Accepting new patients

Locations

9412 Ed Robson Cir
Denton, TX 76207

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.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1477080695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762260176",
            "telephone_number": "682-999-8766",
            "fax_number": "682-444-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 ED ROBSON BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76207",
            "telephone_number": "682-999-8766",
            "fax_number": "682-444-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACOB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1291448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.