Mark Campbell Miles, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501005513 Issued in MI

Practice address

1007 Harbor Hills Dr
Suite a
Marquette, MI 49855-8859

Phone

(906) 225-5585

Fax

(906) 225-5990

NPI assigned

Dec 30, 2005

Sex

Male

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

Practice roles

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.

• Marquette Orthopedic & Sports Therapy, Inc.

  dba Marquette Orthopedic & Sports Therapy

  • Athletic Trainer
  • Marquette, MI
  • NPI 1285770875
  NPD (past)
• Marquette Orthopedic and Sports Therapy Inc.

  • Physical Therapist
  • Marquette, MI
  • NPI 1225154834

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1073590980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRIARWOOD DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559390",
            "telephone_number": "906-249-1858",
            "fax_number": "906-225-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARBOR HILLS DR",
            "address_2": "SUITE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558859",
            "telephone_number": "906-225-5585",
            "fax_number": "906-225-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "MARK",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501005513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Michie, LLMSW
• Michigan in-Home Partner-I, LLC (UP Health System Home Care and Hospice)
• Susan Lynn Micklow, DDS MS
• Beryl Cailyn Miess
• Mansour Miky, M.D.
• Milestones and Mobility Center, Inc.
• Cecily Milkie, LPN
• Mill Creek Memory Care Community
• Brian G Miller, P.T., O.C.S.
• Bruce David Miller

• Orthopedic Physical Therapist in Marquette, MI
• Providers in Marquette, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.