Makenzie Leigh Miller, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2266 Issued in ND

Practice address

6 E 12TH St
Grafton, ND 58237-2212

Phone

(701) 379-0125

NPI assigned

May 17, 2019

Last updated

Apr 8, 2021By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1033775747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014039",
            "telephone_number": "701-746-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E 12TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582372212",
            "telephone_number": "701-379-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 4th St W",
            "address_purpose": "LOCATION",
            "city": "Park River",
            "state": "ND",
            "postal_code": "58270",
            "country_code": "US",
            "telephone_number": "701-284-6707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MAKENZIE",
        "middle_name": "LEIGH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin McSparron, OT
• Jackie Midgarden, SLP
• Jenna Anne Midgarden, PHARM.D.
• Ashleigh Rose Miller, D.C.
• Jordan Miller, DPT
• Jane Myers, LIC REG DIETITAN
• Michael R Myers, CRNA
• Neil Daby DDM LTD
• Haley Jo Nielsen, RN
• Nicole Michele Nielsen

• Physical Therapist in Grafton, ND
• Providers in Grafton, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.