Active NPI
Scott S Miller, PT
- Physical Therapist
- Centerville, OH
National Provider Identifier
1902934581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02628
- Practice address
- 357 Regency Ridge Dr
Centerville, OH 45459-4252 - Phone
- (937) 436-2233
- Fax
- (937) 291-5530
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- 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 | PT02628 | OH | Primary |
Addresses
Primary practice location
357 Regency Ridge Dr
Centerville, OH 45459-4252
Mailing address
845 Wind Bluff PT
Springboro, OH 45066-9014
Phone (937) 885-3603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT02628 | Other | OH | OH LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT02628 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Physical Rehabilitative Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
357 Regency Ridge Dr
Dayton, OH 45459
Phone (513) 436-2233
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Centerville, OH
- NPI 1568460673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902934581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 WIND BLUFF PT",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669014",
"telephone_number": "937-885-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 REGENCY RIDGE DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594252",
"telephone_number": "937-436-2233",
"fax_number": "937-291-5530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SCOTT",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT02628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH LICENSE",
"identifier": "PT02628",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.