Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacob David Miller

Individual provider Physical Therapist · NPI 1619647062

Jacob David Miller is registered under Physical Therapist in Private Practice in LA Crosse, Wisconsin. Qualified in 2021, 5 years ago. Practices with Capitol Physical Therapy Specialists LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
5
Licensed in
MN, WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

700 W Ave S
LA Crosse, WI 54601-4783
Phone: (608) 785-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15624 (WI)
Physical Therapist Taxonomy 225100000X · Licence 12235 (MN)

Record details

NPI number1619647062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2021
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Capitol Physical Therapy Specialists Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients97
Services billed 2,658 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Capitol Physical Therapy Specialists LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 23 clinicians in the practice; 12 are shown here.

Other providers in LA Crosse