Individual provider Active NPI

Marcilet Anna Miller, PT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1619674694
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11444 Issued in LA
Practice address
9808 Bluebonnet Blvd Ste 201
Baton Rouge, LA 70810-6442
Phone
(225) 239-5680
Fax
(844) 315-7631
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 11444 LA Primary

Addresses

Primary practice location

9808 Bluebonnet Blvd Ste 201
Baton Rouge, LA 70810-6442

Mailing address

4324 S Sherwood Forest Blvd Ste B170
Baton Rouge, LA 70816-4481
Phone (225) 654-8208

Other names 1

  • Marci Miller Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906002084 LA Practitioner - Physical Therapist in Private Practice 4082078274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11444LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Midline Physical Therapy Physical Therapist Current Accepting new patients
Jackson Parish Therapy Center LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

5258 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 408-6900

900 Pershing Hwy
Jonesboro, LA 71251
Phone (318) 224-8994

16172 Airline Hwy
#B
Prairieville, LA 70769
Phone (225) 255-4020

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1619674694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 S SHERWOOD FOREST BLVD STE B170",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164481",
            "telephone_number": "225-654-8208",
            "fax_number": "225-465-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 BLUEBONNET BLVD STE 201",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106442",
            "telephone_number": "225-239-5680",
            "fax_number": "844-315-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARCILET",
        "middle_name": "ANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCI",
            "last_name": "MILLER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.