Individual provider Active NPI

Robert Keith Miles, PT, ATC/L

  • Orthopedic Physical Therapist
  • Hixson, TN
National Provider Identifier
1730270216
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
0000006796 Issued in TN
Practice address
2125 Northpoint Blvd
Hixson, TN 37343-4072
Phone
(423) 875-3376
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 0000006796 TN Primary
Orthopedic Physical Therapist 2251X0800X 008199 GA
Athletic Trainer 2255A2300X 0000000825 TN
Athletic Trainer 2255A2300X 001039 GA

Addresses

Primary practice location

2125 Northpoint Blvd
Hixson, TN 37343-4072

Mailing address

10590 Daffodil Cir
Soddy Daisy, TN 37379-3929
Phone (423) 842-2969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000354 TN Practitioner - Physical Therapist in Private Practice 5991983181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Memphis Hospital Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

1809 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-7185
Phone (423) 648-0698

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6796TNMDPharmacist
0000006796TNMDOrthopedic Physical Therapist
001039GAMDOccupational Therapist
0000000825TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Nov 4, 2020 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Nov 4, 2020 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2021 Accepting new patients
Orthopaedic Specialists of the Carolinas, P.a. Past Accepting new patients

Locations

6986 Nashville St
Ringgold, GA 30736
Phone (423) 778-3110

60 Erlanger South Dr
Ringgold, GA 30736
Phone (706) 937-9292

1100 E 3rd St
Ste G103
Chattanooga, TN 37403
Phone (423) 648-0698

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1809 Gunbarrel Rd
Ste 103
Chattanooga, TN 37421
Phone (423) 648-0698

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 6

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1730270216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 DAFFODIL CIR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373793929",
            "telephone_number": "423-842-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 NORTHPOINT BLVD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434072",
            "telephone_number": "423-875-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ROBERT",
        "middle_name": "KEITH",
        "credential": "PT, ATC/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "0000006796",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "008199",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000000825",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "001039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.