Active NPI
Jason C Miller, PT
- Physical Therapist
- Missoula, MT
National Provider Identifier
1790712503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1612
- Practice address
- 2360 Mullan Rd
Ste D
Missoula, MT 59808-1811 - Phone
- (406) 542-4702
- Fax
- (406) 541-8240
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1612 | MT | Primary |
Addresses
Primary practice location
2360 Mullan Rd
Ste D
Missoula, MT 59808-1811
Mailing address
2360 Mullan Rd
Ste C
Missoula, MT 59808-1811
Phone (406) 721-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0346375 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
PO Box
Suite 238
Missoula, MT 59806-0238
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1612 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Miller Physical Therapy LLC | Current | Accepting new patients |
Locations
308 W Pine St
Missoula, MT 59802
Phone (406) 241-4879
308 W Pine St
Ste 100
Missoula, MT 59802
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.
-
- Physical Therapy Clinic/Center
- Missoula, MT
- NPI 1265065569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1790712503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 MULLAN RD",
"address_2": "STE C",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081811",
"telephone_number": "406-721-4436",
"fax_number": "406-721-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MULLAN RD",
"address_2": "STE D",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081811",
"telephone_number": "406-542-4702",
"fax_number": "406-541-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JASON",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0346375",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.