JEREMY WILSON MILLER (PT, DPT) – Physical Therapist, NPI 1912436445

JEREMY WILSON MILLER (PT, DPT) is a healthcare provider. based in Tigard, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT60742902 (WA). The NPI Number for JEREMY WILSON MILLER (PT, DPT) is 1912436445

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY WILSON MILLER (PT, DPT)
NPI
1912436445
Phone
(800) 219-8835
Address
16083 SW UPPER BOONES FERRY RD STE 300
Enumeration Date
8 June 2017
Last Update Date
31 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096653156
Graduation Year
2017 (9 years ago)
PAC ID
3870862840
Group Practice PAC ID
8224011507
Professional Enrollment ID
I20170706002548
Address ID
WA988016137WE18XXXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for JEREMY WILSON MILLER (PT, DPT)

  • Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97035, United States

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

  • East Madison Street, Edgewater Park, Madison Park, Seattle, King County, Washington, United States

    SEATTLE, WA 981124259

    Phone: (206) 324-5389

    Fax: (206) 324-5391

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170706002548IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities41434$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20027$0
97140Therapy procedure using manual technique, each 15 minutes16518$0
97164Re-evaluation for physical therapy, typically 20 minutes2214$0
97162Evaluation for physical therapy, typically 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 97224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224011507View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
-WA
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

What unique ID ties claims to JEREMY WILSON MILLER (PT, DPT)?
NPI 1912436445 is assigned to JEREMY WILSON MILLER (PT, DPT) under the national enumeration system.
Is JEREMY WILSON MILLER (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JEREMY WILSON MILLER (PT, DPT) work in?
You can think of JEREMY WILSON MILLER (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is JEREMY WILSON MILLER (PT, DPT)'s primary listing?
We display Tigard, Oregon because that is what the record indicates for JEREMY WILSON MILLER (PT, DPT).
What if Tigard, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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