Individual provider Active NPI

Stephan Miller

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1700242815
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1267816 Issued in TX
Practice address
1033 La Posada Dr Ste 308
Austin, TX 78752-3824
Phone
(512) 284-7192
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1267816 TX Primary

Addresses

Primary practice location

1033 La Posada Dr Ste 308
Austin, TX 78752-3824

Mailing address

1033 La Posada Dr Ste 308
Austin, TX 78752-3824
Phone (512) 284-7192

Other identifiers 1

IdentifierTypeStateIssuer
1267816OtherTXPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1267816TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc CurrentSince Sep 16, 2016 Accepting new patients
Endeavor Rehab Center Inc Orthopedic CurrentSince Sep 16, 2016 Accepting new patients
Endeavor Rehab Center Inc Past Accepting new patients

Locations

1033 La Posada Dr
Ste 170
Austin, TX 78752
Phone (512) 284-7192

1033 La Posada Dr
Ste 308
Austin, TX 78752
Phone (512) 284-7192

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

6911 Ranch Road 620 N
Bldg B-201
Austin, TX 78732
Phone (512) 467-4546

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

Organizations & group practices 3

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1700242815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR STE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523824",
            "telephone_number": "512-284-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR STE 308",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523824",
            "telephone_number": "512-284-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1267816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1267816",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.