Joal R Miller, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5222 Issued in AZ

Practice address

20261 E Ocotillo Rd
Suite 110
Queen Creek, AZ 85142-8806

Phone

(480) 677-2771

Fax

(480) 677-2768

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Tan Physical Therapy PLLCGroup PAC ID 2769496397, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Tan Physical Therapy, PLLC

  • Specialist
  • Queen Creek, AZ
  • NPI 1710105747
  Medicare reassignment Care Compare group NPD Authorized official
• Elite Medical Partners PLLC

  • Family Medicine Physician
  • Queen Creek, AZ
  • NPI 1710599303
  NPD

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1841270477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD",
            "address_2": "SUITE 110",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428806",
            "telephone_number": "480-677-2771",
            "fax_number": "480-677-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD",
            "address_2": "SUITE 110",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851428806",
            "telephone_number": "480-677-2771",
            "fax_number": "480-677-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOAL",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497885",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Lee Mendenhall, LCSW, CCBT, DAPA
• Naomi Mendoza Ealy, PMHNP-BC
• Debbie Michele Merideth-Zantout, MT-BC, SLP-A
• Kelle L Meza
• Amber Ann Miller, ATC, LAT, EMT
• Mark Alan Miller, D.C.
• Jacob Dalton Pistol Mills, PTA
• Mind Health Restoration PLLC
• Trevor Miner, PT
• Andrew G Miritello

• Physical Therapist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.