James Robert Miller, PT, DC, ECS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24991 Issued in CA

Practice address

1423 N Tracy Blvd
Tracy, CA 95376-3445

Phone

(209) 830-8855

Fax

(209) 830-8837

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kealoha Alyce Miller, PT, MPT

  • Physical Therapist
  • Tracy, CA
  • NPI 1114012572
  Medicare reassignment

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.

• James Robert Miller

  • Physical Therapist
  • Tracy, CA
  • NPI 1336394030
  NPD (past) Authorized official
• Howard J Rosen MD Inc.

  • Interventional Pain Medicine Physician
  • Monterey, CA
  • NPI 1649290859
  NPD (past)
• Modern Therapies for Mind and Soul, Inc

  • Specialist
  • Tracy, CA
  • NPI 1265537989
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1992899587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763445",
            "telephone_number": "209-830-8855",
            "fax_number": "209-830-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763445",
            "telephone_number": "209-830-8855",
            "fax_number": "209-830-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PT, DC, ECS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24991",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29853",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "CA",
            "license": "PT24991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Anthony Mezzanares Jr., COA
• Joseph Anthony Michael
• Sophia Michaleto
• Steven D. Millar, MD
• Faith Renee Miller
• Kealoha Alyce Miller, PT, MPT
• Kristin L Miller, PHD, BCBA
• Patricia Miller, PH.D.
• Ronald George Miller, D.D.S
• Vanessa D Miner, PTA

• Physical Therapist in Tracy, CA
• Providers in Tracy, CA by specialty
• Physical Therapist in California

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

Verify at the official NPI Registry.