Active NPI
Travis Chandler Miller, PT, DPT
- Physical Therapist
- Jersey Village, TX
National Provider Identifier
1801447677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1321493
- Practice address
- 17360 Northwest Fwy
Jersey Village, TX 77040-1114 - Phone
- (713) 849-2253
- Fax
- (713) 849-3103
- NPI assigned
- Sep 24, 2019
- 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 | 1321493 | TX | Primary |
Addresses
Primary practice location
17360 Northwest Fwy
Jersey Village, TX 77040-1114
Mailing address
3214 Fry Ave
Tyler, TX 75701-7917
Phone (903) 780-7436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1321493 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1801447677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3214 FRY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757017917",
"telephone_number": "903-780-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17360 NORTHWEST FWY",
"city": "JERSEY VILLAGE",
"state": "TX",
"postal_code": "770401114",
"telephone_number": "713-849-2253",
"fax_number": "713-849-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TRAVIS",
"middle_name": "CHANDLER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1321493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.