Individual provider Active NPI

Carolyn-Renee Miller, PT

  • Physical Therapist
  • Germantown, MD
National Provider Identifier
1639232846
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21498 Issued in MD
Practice address
13247 Executive Park Ter
Germantown, MD 20874-2648
Phone
(703) 645-0290
NPI assigned
Dec 18, 2006
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 21498 MD Primary

Addresses

Primary practice location

13247 Executive Park Ter
Germantown, MD 20874-2648

Mailing address

1 Pepperell CT
Bethesda, MD 20817-4663
Phone (202) 246-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110804000614 DC Practitioner - Physical Therapist in Private Practice 8820267065 Reassigns benefits to 2 organizations
I20241002003777 MD Practitioner - Physical Therapist in Private Practice 8820267065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 19, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Sep 19, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Sep 19, 2024 Accepting new patients
Marquette Holdings LLC Physical Therapist CurrentSince Jan 30, 2024 Accepting new patients
Active Physical Therapy Services, LLC Physical Therapist Past Accepting new patients
Virginia Home Therapy LLC Physical Therapist PastSince Nov 22, 2020 Accepting new patients

Locations

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1639232846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEPPERELL CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208174663",
            "telephone_number": "202-246-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13247 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742648",
            "telephone_number": "703-645-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROLYN-RENEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.