Individual provider Active NPI

Tamsyn Noel Miller, PHYSICAL THERAPIST

  • Physical Therapist
  • Nevada City, CA
National Provider Identifier
1619115276
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35287 Issued in CA
Practice address
569 Searls Ave
Nevada City, CA 95959
Phone
(530) 478-1933
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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 PT35287 CA Primary

Addresses

Primary practice location

569 Searls Ave
Nevada City, CA 95959

Mailing address

PO Box 10
Cedar Ridge, CA 95924
Phone (530) 478-1933

Other names 1

  • Tamsyn Noel Anderson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090721000309 CA Practitioner - Physical Therapist in Private Practice 3678625738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Edge Physical Therapy IncGroup PAC ID 9830528751, 2 clinicians

Practice addresses (Care Compare)

11392 Pleasant Valley Rd
Penn Valley, CA 95946-9001
Phone (530) 432-9663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35287CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive NC Physical Therapy, Inc. Physical Therapist PastSince Oct 1, 2016 Accepting new patients
Fit for Life Physical Therapy, Inc Physical Therapist PastSince Jul 18, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1619115276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "CEDAR RIDGE",
            "state": "CA",
            "postal_code": "95924",
            "telephone_number": "530-478-1933",
            "fax_number": "530-478-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 SEARLS AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "95959",
            "telephone_number": "530-478-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TAMSYN",
        "middle_name": "NOEL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMSYN",
            "last_name": "ANDERSON",
            "middle_name": "NOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.