Organization Active NPI

Miller Orthopedic and Sports Rehab Inc

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1659339786
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21309 Issued in FL
Legal business name
MILLER ORTHOPEDIC AND SPORTS REHAB INC
Practice address
247 SE 6TH Avenue
Unit #2
Delray Beach, FL 33483
Phone
(561) 278-6055
Fax
(561) 278-6670
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Scott Evan Miller, MPTNPI 1659339109
Title
Owner / Physical Therapist
Phone
(561) 278-6055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 21309 FL Primary

Addresses

Primary practice location

247 SE 6TH Avenue
Unit #2
Delray Beach, FL 33483

Mailing address

247 SE 6TH Avenue
Unit #2
Delray Beach, FL 33483
Phone (561) 278-6055

Other names 1

  • Miller Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100709000876 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466464441 Receives reassigned benefits from 2 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

247 SE 6th Ave
Ste 2
Delray Beach, FL 33483
Phone (561) 278-6055

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1659339786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 SE 6TH AVENUE",
            "address_2": "UNIT #2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-278-6055",
            "fax_number": "561-278-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SE 6TH AVENUE",
            "address_2": "UNIT #2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-278-6055",
            "fax_number": "561-278-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER ORTHOPEDIC AND SPORTS REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "561-278-6055",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 21309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.