Individual provider Active NPI

Anthony Phillip Miller, MPT MS ATC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Covington, LA
National Provider Identifier
1598831943
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
06520R Issued in LA
Practice address
1010 S Polk St
Suite 2
Covington, LA 70433-2474
Phone
(985) 809-9088
Fax
(985) 809-9270
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 06520R LA Primary

Addresses

Primary practice location

1010 S Polk St
Suite 2
Covington, LA 70433-2474

Mailing address

1010 S Polk St
Suite 2
Covington, LA 70433-2474
Phone (985) 809-9088

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Landers Physical Therapy Services, LLC PastSince Jun 1, 2004 Accepting new patients
Physical Therapy Specialists Inc Past Accepting new patients

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1598831943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S POLK ST",
            "address_2": "SUITE 2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332474",
            "telephone_number": "985-809-9088",
            "fax_number": "985-809-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S POLK ST",
            "address_2": "SUITE 2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332474",
            "telephone_number": "985-809-9088",
            "fax_number": "985-809-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANTHONY",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "MPT MS ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "LA",
            "license": "06520R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.