Individual provider Active NPI

Stephanie Miller, PT

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1649416801
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22730 Issued in MD
Practice address
8120 Woodmont Ave Ste 330
Bethesda, MD 20814-2743
Phone
(301) 229-9110
Fax
(301) 355-0615
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 22730 MD Primary

Addresses

Primary practice location

8120 Woodmont Ave Ste 330
Bethesda, MD 20814-2743

Mailing address

8120 Woodmont Ave Ste 330
Bethesda, MD 20814-2743
Phone (301) 229-9110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627000066 DC Practitioner - Physical Therapist in Private Practice 1951845304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Dickstein Physical Therapy, LLCGroup PAC ID 8628465705, 4 clinicians

Practice addresses (Care Compare)

8120 Woodmont Ave
Suite 330
Bethesda, MD 20814-2743
Phone (301) 229-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dickstein Physical Therapy, LLC Physical Therapist CurrentSince Jun 5, 2024 Accepting new patients

Locations

8120 Woodmont Ave
Ste 330
Bethesda, MD 20814
Phone (301) 229-9110

Organizations & group practices 1

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1649416801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 330",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142743",
            "telephone_number": "301-229-9110",
            "fax_number": "301-355-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 330",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142743",
            "telephone_number": "301-229-9110",
            "fax_number": "301-355-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

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