Active NPI
James Robert Miller, PT
- Physical Therapist
- Concord, NC
National Provider Identifier
1619070893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 672
- Practice address
- 215 Le Phillip CT
Concord, NC 28025-2900 - Phone
- (704) 788-3414
- Fax
- (704) 788-2260
- NPI assigned
- Sep 6, 2006
- Last updated
- Mar 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 672 | NC | Primary |
Addresses
Primary practice location
215 Le Phillip CT
Concord, NC 28025-2900
Mailing address
215 Lephillip Court NE
Concord, NC 28025
Phone (704) 788-3414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07856 | Other | NC | BCBS OF NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 672 | NC | MD | Physical Therapist |
| 372 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1619070893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 LEPHILLIP COURT NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "28025",
"telephone_number": "704-788-3414",
"fax_number": "704-788-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 LE PHILLIP CT",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252900",
"telephone_number": "704-788-3414",
"fax_number": "704-788-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "07856",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.