Brenda Miller, PT,OCS

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305003472 Issued in VA

Practice address

1901 S Main St Ste 8
Blacksburg, VA 24060-6628

Phone

(540) 315-3000

Fax

(540) 739-3692

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brenda Larrimer Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Physical Therapy LLCGroup PAC ID 3173800794, 4 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.

• Core Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Blacksburg, VA
  • NPI 1356798565
  Medicare reassignment Care Compare group NPD Authorized official
• Leeann Nelson Physical Therapy, LLC

  • Physical Therapist
  • Elkton, MD
  • NPI 1366640120
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1932247111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST STE 8",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606628",
            "telephone_number": "540-315-3000",
            "fax_number": "540-739-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST STE 8",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606628",
            "telephone_number": "540-315-3000",
            "fax_number": "540-739-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Chesapeake Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216313",
            "country_code": "US",
            "telephone_number": "410-392-9400",
            "fax_number": "410-392-0577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRENDA",
        "credential": "PT,OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19557",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305003472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM, HEALTHKEEPERS, OPTUM,  CIGNA, HUMANA, TRICARE, UHC, VIRGINIA PREMIER",
            "identifier": "1356798565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "LARRIMER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary-Ellen Mick, D.O.
• Mia Mickenberg, LPC
• Margaret Softie Midboe, LCSW
• Nancy Mignone, LMT
• Barbara R Miller, FNP
• Donald Miller, RPH
• Patricia Anna Miller, FNP
• Robert C. Miller, ED.D.
• Mindy R. Jackson, LPC
• Colleen Mitchell, O.D.

• Physical Therapy Clinic/Center in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.