Active NPI
Summit Neurorehabilitation and Wellness LLC
- Neurology Physical Therapist
- Washington, DC
National Provider Identifier
1487490850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- Legal business name
- SUMMIT NEUROREHABILITATION AND WELLNESS LLC
- Practice address
- 3401 38TH St NW Apt 725
Washington, DC 20016-3044 - Phone
- (410) 924-9503
- NPI assigned
- Jul 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bradley C Miller, PT, DPT, NCS, CSCS
- Title
- Owner, Physical Therapist
- Phone
- (410) 924-9503
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Neurology Physical Therapist | 2251N0400X | Primary |
Addresses
Primary practice location
3401 38TH St NW Apt 725
Washington, DC 20016-3044
Mailing address
919 W 34TH Street #50278
SMB #65067
Baltimore, MD 21211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
919 W 34th St
Unit 50278
Baltimore, MD 21211
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720137600000",
"number": "1487490850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 W 34TH STREET #50278",
"address_2": "SMB #65067",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 38TH ST NW APT 725",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200163044",
"telephone_number": "410-924-9503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT NEUROREHABILITATION AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-05",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "410-924-9503",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT, NCS, CSCS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.