Active NPI
Jay Stanley Miller Jr., PT, DPT
- Physical Therapist
- West Chester, OH
National Provider Identifier
1619660230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020572
- Practice address
- 5531 Chappell Crossing Blvd
West Chester, OH 45069-5226 - Phone
- (877) 407-3422
- NPI assigned
- May 30, 2023
- 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 | PT020572 | OH | Primary |
Addresses
Primary practice location
5531 Chappell Crossing Blvd
West Chester, OH 45069-5226
Mailing address
5841 Marble Creek St
Dublin, OH 43016-6370
Other practice location 1
2701 Chestnut Station Ct
Louisville, KY 40299-6395
Phone (800) 335-1060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Services OH, LLC |
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 |
|---|---|---|---|
| PT020572 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1619660230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 MARBLE CREEK ST",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430166370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5531 CHAPPELL CROSSING BLVD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450695226",
"telephone_number": "877-407-3422"
}
],
"practiceLocations": [
{
"address_1": "2701 Chestnut Station Ct",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402996395",
"country_code": "US",
"telephone_number": "800-335-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "JAY",
"middle_name": "STANLEY",
"name_suffix": "Jr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-30",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020572",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Services OH, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "5531 Chappell Crossing Blvd",
"city": "West Chester",
"state": "OH",
"country_code": "US",
"postal_code": "450695226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.