Provider Demographics
NPI:1093735995
Name:RACHEL E. MILLER, INC
Entity Type:Organization
Organization Name:RACHEL E. MILLER, INC
Other - Org Name:PROACTION PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:EVELYN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:301-881-2273
Mailing Address - Street 1:302 MIDSUMMER DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5220
Mailing Address - Country:US
Mailing Address - Phone:301-881-2273
Mailing Address - Fax:301-881-3880
Practice Address - Street 1:4961 NICHOLSON COURT
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895
Practice Address - Country:US
Practice Address - Phone:301-881-2273
Practice Address - Fax:301-881-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18207261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG00676Medicare ID - Type Unspecified