Active NPI
Nathan E Miller, PT
- Physical Therapist
- Lewisburg, TN
National Provider Identifier
1124173158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0000006409
- Practice address
- 1080 N Ellington Pkwy
Suite 205
Lewisburg, TN 37091-2227 - Phone
- (931) 270-3675
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0000006409 | TN | Primary |
Addresses
Primary practice location
1080 N Ellington Pkwy
Suite 205
Lewisburg, TN 37091-2227
Mailing address
405 Rutherford LN
Columbia, TN 38401-5080
Phone (931) 381-2498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000006409 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124173158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 RUTHERFORD LN",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384015080",
"telephone_number": "931-381-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 N ELLINGTON PKWY",
"address_2": "SUITE 205",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370912227",
"telephone_number": "931-270-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NATHAN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "0000006409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.