Active NPI
Shannon Miller
- Orthotic Fitter
- Rock Hill, SC
National Provider Identifier
1124966890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- C74382
- Practice address
- 223 Herlong Ave S
Rock Hill, SC 29732-1670 - Phone
- (803) 328-2625
- Fax
- (803) 328-1408
- NPI assigned
- Mar 24, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | C74382 | SC | Primary |
Addresses
Primary practice location
223 Herlong Ave S
Rock Hill, SC 29732-1670
Mailing address
223 Herlong Ave S
Rock Hill, SC 29732-1670
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 |
|---|---|---|---|
| C74382 | SC | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1124966890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 HERLONG AVE S",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 HERLONG AVE S",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321670",
"telephone_number": "803-328-2625",
"fax_number": "803-328-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "SC",
"license": "C74382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.