JACOB DAVID MILLER
NPI 1619647062
Physical Therapist in La Crosse, WI
About Jacob David Miller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB DAVID MILLER (NPI 1619647062) is an individual physical therapist in La Crosse, Wisconsin, licensed in Wisconsin (15624) and active in the NPI registry since September 2021. He is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob David Miller is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Miller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,003 clinicians in this Medicare group
Verona, WI 53593
- Reassigned Medicare billing, Wisconsin enrollment
- 37 clinicians in this Medicare group
Madison, WI 53705
- Reassigned Medicare billing, Wisconsin enrollment
- 61 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Miller's NPI number?
The NPI number for Jacob Miller is 1619647062. It was assigned to this individual provider in the NPPES registry on September 16, 2021.
Where is Jacob Miller located?
Jacob Miller practices at 700 West Ave S, La Crosse, WI 54601. The listed phone number is (608) 785-0940.
What is Jacob Miller's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jacob Miller enrolled in Medicare?
Yes. Jacob Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacob Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Miller reassigns Medicare benefits to 3 organizations: Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), Capitol Physical Therapy Specialists LLC (Verona, WI) and Associated Physicians, LLP (Madison, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Miller was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacob David Miller · NPI 1619647062
Physical Therapist provider in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since September 16, 2021.
## Identity
- **NPI:** 1619647062 (Entity type: Individual)
- **Enumerated:** September 16, 2021
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 15624 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 WEST AVE S, La Crosse, WI 54601-4783
- **Phone:** (608) 785-0940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI); Capitol Physical Therapy Specialists LLC (NPI 1184286932, Verona, WI); Associated Physicians, LLP (NPI 1861412785, Madison, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 28, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1619647062) · Data from the CMS NPPES public registry.