Individual provider Active NPI

Joseph M Miller, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1730231457
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL0012619 Issued in CO
Practice address
1202 E Fillmore St
Colorado Springs, CO 80907-6402
Phone
(719) 895-1722
NPI assigned
Jan 16, 2007
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 PTL0012619 CO Primary
Physical Therapist 225100000X 2305203747 VA

Addresses

Primary practice location

1202 E Fillmore St
Colorado Springs, CO 80907-6402

Mailing address

1202 E Fillmore St
Colorado Springs, CO 80907-6402

Other practice location 1

522 S Tejon St
Colorado Springs, CO 80903-3929
Phone (719) 622-6961

Other identifiers 1

IdentifierTypeStateIssuer
0012619OtherCODORA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190206001112 CO Practitioner - Physical Therapist in Private Practice 8426396029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy LLCGroup PAC ID 7810090446, 9 clinicians

Practice addresses (Care Compare)

1202 E Fillmore St
Colorado Springs, CO 80907-6402
Phone (719) 895-1722

2855 International Cir
Colorado Springs, CO 80910-3144
Phone (719) 447-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL0012619COMDPhysical Therapist
2305203747VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy LLC Physical Therapist CurrentSince Nov 6, 2018 Accepting new patients
Dynamic Physical Therapy LLC Physical Therapist CurrentSince Nov 6, 2018 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist CurrentSince Apr 20, 2026 Accepting new patients
Colorado Athletic Conditioning Clinic Lowry Professional LLC Physical Therapist PastSince Apr 20, 2026 Accepting new patients

Locations

1202 E Fillmore St
Colorado Springs, CO 80907
Phone (719) 895-1722

2855 International Cir
Colorado Springs, CO 80910
Phone (719) 447-8822

5570 Powers Center Pt
Colorado Springs, CO 80920
Phone (719) 266-6022

5775 N Union Blvd
Colorado Springs, CO 80918
Phone (719) 434-7044

5775 N Union Blvd
Ste 200
Colorado Springs, CO 80918
Phone (719) 434-7044

Organizations & group practices 5

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1730231457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E FILLMORE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076402",
            "telephone_number": "719-895-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 S Tejon St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809033929",
            "country_code": "US",
            "telephone_number": "719-622-6961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0012619",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203747",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORA",
            "identifier": "0012619",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.