Individual provider Active NPI

Robyn Lee Miller, PT, DPT

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1124404561
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30342 Issued in FL
Practice address
801 Woodbury Rd Ste 103
Orlando, FL 32828-4514
Phone
(407) 373-6082
Fax
(407) 373-6083
NPI assigned
Aug 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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 PT30342 FL Primary

Addresses

Primary practice location

801 Woodbury Rd Ste 103
Orlando, FL 32828-4514

Mailing address

820 Commed Blvd
Orange City, FL 32763-8321
Phone (386) 775-7488

Other practice location 1

1860 State Road 436
Suite 1000
Winter Park, FL 32792-2255
Phone (407) 657-5029

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL brooksrehab.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123001242 FL Practitioner - Physical Therapist in Private Practice 1153621214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30342FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health Development, Inc. CurrentSince Mar 15, 2020 Accepting new patients
Genesis Health Development Inc CurrentSince Mar 15, 2020 Accepting new patients
Physiotherapy Works, LLC PastSince Oct 6, 2024 Accepting new patients
Physiotherapy Works LLC Physical Therapist PastSince Aug 10, 2015 Accepting new patients

Locations

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

820 Commed Blvd
Orange City, FL 32763
Phone (386) 775-7488

801 Woodbury Rd
Ste 103
Orlando, FL 32828
Phone (407) 373-6082

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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": "1438992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1124404561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 COMMED BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638321",
            "telephone_number": "386-775-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WOODBURY RD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284514",
            "telephone_number": "407-373-6082",
            "fax_number": "407-373-6083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 State Road 436",
            "address_2": "Suite 1000",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327922255",
            "country_code": "US",
            "telephone_number": "407-657-5029",
            "fax_number": "407-657-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBYN",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-08",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brooksrehab.org",
            "affiliation": "N",
            "address_1": "801 Woodbury Rd Ste 103",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328284514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.