Individual provider Active NPI

Camaron A Miller

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1831179977
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008149 Issued in WA
Practice address
2420 S Union Ave
Suite 130
Tacoma, WA 98405-1322
Phone
(253) 752-1070
Fax
(253) 752-2315
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008149 WA Primary

Addresses

Primary practice location

2420 S Union Ave
Suite 130
Tacoma, WA 98405-1322

Mailing address

2420 S Union Ave
Suite 130
Tacoma, WA 98405-1322
Phone (253) 752-1070

Other names 1

  • Camaron Miller Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000024 WA Practitioner - Physical Therapist in Private Practice 5496743049 Reassigns benefits to 1 organization

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
Group practices
NW CMW PSGroup PAC ID 3870513195, 3 clinicians

Practice addresses (Care Compare)

2420 S Union Ave
Suite 130
Tacoma, WA 98405-1306
Phone (253) 752-1070

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.84
Improvement activities
40
Cost
70.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NW CMW, P.S CurrentSince Jan 1, 2006 Accepting new patients

Locations

2420 S Union Ave
Ste 130
Tacoma, WA 98405
Phone (253) 752-0107

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1831179977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE",
            "address_2": "SUITE 130",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051322",
            "telephone_number": "253-752-1070",
            "fax_number": "253-752-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE",
            "address_2": "SUITE 130",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051322",
            "telephone_number": "253-752-1070",
            "fax_number": "253-752-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAMARON",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMARON",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.