Individual provider Active NPI

Jillian Miller, D.P.T.

  • Physical Therapist
  • Daytona Beach, FL
National Provider Identifier
1063913309
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33377 Issued in FL
Practice address
112 Orange Ave Ste 200
Daytona Beach, FL 32114-4338
Phone
(386) 500-6703
Fax
(386) 515-8416
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33377 FL Primary

Addresses

Primary practice location

112 Orange Ave Ste 200
Daytona Beach, FL 32114-4338

Mailing address

112 Orange Ave Ste 200
Daytona Beach, FL 32114-4338
Phone (386) 500-6703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200403003151 FL Practitioner - Physical Therapist in Private Practice 1850720350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Orange Ave
Suite 200
Daytona Beach, FL 32114-4338
Phone (386) 500-6703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33377FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Daytona Women'S Health and Physical Therapy Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients

Locations

112 Orange Ave
Ste 200
Daytona Beach, FL 32114
Phone (386) 500-6703

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1063913309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ORANGE AVE STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144338",
            "telephone_number": "386-500-6703",
            "fax_number": "386-515-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ORANGE AVE STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144338",
            "telephone_number": "386-500-6703",
            "fax_number": "386-515-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JILLIAN",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "33377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.