Individual provider Active NPI

Christopher David Miller, PT, DPT, OCS

  • Physical Therapist
  • Blue Bell, PA
National Provider Identifier
1942284344
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019284 Issued in PA
Practice address
790 Penllyn Blue Bell Pike Ste 101
Blue Bell, PA 19422-1657
Phone
(267) 419-8160
Fax
(267) 419-8761
NPI assigned
Nov 30, 2005
Last updated
Nov 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00009956 WA
Physical Therapist 225100000X DAPT001816 PA
Physical Therapist 225100000X PT019284 PA Primary

Addresses

Primary practice location

790 Penllyn Blue Bell Pike Ste 101
Blue Bell, PA 19422-1657

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (856) 677-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000156 PA Practitioner - Physical Therapist in Private Practice 8921026527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Blue Bell, PA 19422
Phone (267) 699-8020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DAPT001816PAMDPhysical Therapist
PT019284PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CDM Physical Therapy & Performance Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince Oct 1, 2022 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

790 Penllyn Pike
Ste 101
Blue Bell, PA 19422
Phone (267) 419-8160

1075 Virginia Dr
Ste 200
Ft Washington, PA 19034
Phone (215) 619-4545

5479 Pottsville Pike
Ste 200
Leesport, PA 19533
Phone (610) 926-6778

2 Penn Ctr
Ste 450
Philadelphia, PA 19102
Phone (215) 454-2812

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1942284344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 PENLLYN BLUE BELL PIKE STE 101",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221657",
            "telephone_number": "267-419-8160",
            "fax_number": "267-419-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009956",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT001816",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.