Active NPI
Emily Fennell Miller, PT, DPT
- Physical Therapist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23167
- Practice address
- 161 Jennifer Rd Ste a
Annapolis, MD 21401-3367 - Phone
- (443) 481-1140
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305205660 | VA | |
| Physical Therapist | 225100000X | PT870914 | DC | |
| Physical Therapist | 225100000X | 23167 | MD | Primary |
Addresses
Primary practice location
161 Jennifer Rd Ste a
Annapolis, MD 21401-3367
Mailing address
11006 Veirs Mill Rd
#L15-282
Silver Spring, MD 20902-2582
Phone (301) 933-7827
Other practice location 1
11301 Amherst Ave Ste 102
Silver Spring, MD 20902-4665
Phone (301) 933-7827
Other names 1
- Ms. Emily Fennell Wagner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4175 N Hanson Court
Suite 301
Bowie, MD 20716-3179
Phone (301) 805-7004
70 Central Ave W
Aamg PT
Edgewater, MD 21037-2622
Phone (443) 775-5640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT870914 | DC | MD | Physical Therapist |
| 23167 | MD | MD | Physical Therapist |
| 2305205660 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Loudoun Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Virginia Hospital Center Arlington Health System | Past | Accepting new patients | |
| Silver Spring Medical Center LLC | Past | Accepting new patients |
Locations
201 Defense Hwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-6549
161 Jennifer Rd
Ste A
Annapolis, MD 21401
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004
70 Central Ave W
Edgewater, MD 21037
Phone (410) 481-1140
8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
Organizations & group practices 7
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
- Annapolis, MD
- NPI 1396122842
Physical Therapist
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC
-
dba AAMG Physical Therapy Cape St. Claire
- Physical Therapist
- Annapolis, MD
- NPI 1134763212
-
- Family Medicine Physician
- Wheaton, MD
- NPI 1568792059
-
dba Loudoun Physical Therapy
- Physical Therapist
- Leesburg, VA
- NPI 1629128152
-
dba Virginia Hospital Center Outpatient Pharmacy
- Pharmacy
- Arlington, VA
- NPI 1790045052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1881843761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11006 VEIRS MILL RD",
"address_2": "#L15-282",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209022582",
"telephone_number": "301-933-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 JENNIFER RD STE A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013367",
"telephone_number": "443-481-1140"
}
],
"practiceLocations": [
{
"address_1": "11301 Amherst Ave Ste 102",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209024665",
"country_code": "US",
"telephone_number": "301-933-7827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "EMILY",
"middle_name": "FENNELL",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2023-09-06",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205660",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870914",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "23167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "WAGNER",
"middle_name": "FENNELL",
"prefix": "MS.",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.