Healthcare Provider Details
I. General information
NPI: 1902834815
Provider Name (Legal Business Name): MARCUS JAMES MILLER CRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
304 MARSHVIEW CT
CARROLLTON VA
23314-2242
US
IV. Provider business mailing address
304 MARSHVIEW CT
CARROLLTON VA
23314-2242
US
V. Phone/Fax
- Phone: 757-722-9961
- Fax:
- Phone: 757-722-9961
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 227800000X |
| Taxonomy | Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278C0205X |
| Taxonomy | Critical Care Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278E0002X |
| Taxonomy | Emergency Care Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278E1000X |
| Taxonomy | Educational Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278G0305X |
| Taxonomy | Geriatric Care Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278G1100X |
| Taxonomy | General Care Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278H0200X |
| Taxonomy | Home Health Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278P1004X |
| Taxonomy | Pulmonary Diagnostics Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278P1005X |
| Taxonomy | Pulmonary Rehabilitation Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278P3800X |
| Taxonomy | Palliative/Hospice Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2278P4000X |
| Taxonomy | Patient Transport Certified Respiratory Therapist |
| License Number | |
| License Number State | |
| # 12 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2278S1500X |
| Taxonomy | SNF/Subacute Care Certified Respiratory Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
