Mackenzie L Miller, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT017325 Issued in GA

Practice address

1715 Friendship Cir Ste 300
Cumming, GA 30028-6920

Phone

(770) 240-1063

Fax

(470) 745-6035

NPI assigned

Aug 28, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joy Therapy and Learning Center LLC

  • Speech-Language Pathologist
  • Cumming, GA
  • NPI 1891280921
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1023842572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 FRIENDSHIP CIR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286920",
            "telephone_number": "770-240-1063",
            "fax_number": "470-745-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FRIENDSHIP CIR STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286920",
            "telephone_number": "770-240-1063",
            "fax_number": "470-745-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MACKENZIE",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT017325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B. Drew, LLC
• Addison Brynne Mienert
• Milan Eye LLC
• Dominique Miller
• Keith A Miller
• Sherry Miller, OTRL
• Sydney Miller, BCBA
• Lauren Elizabeth Milner
• Milton Pharmacy LLC
• Michael G. Milton, M.D.

• Pediatric Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.