Robert Wayne Miller II

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6213 Issued in AZ

Legal business name

ROBERT WAYNE MILLER II

Doing business as

The Body Shop PT Clinic

Practice address

515 N Beaver St
Flagstaff, AZ 86001-3042

Phone

(928) 214-7303

Fax

(928) 214-0696

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert Wayne Miller II

Title

Physical Therapist

Phone

(928) 214-7303

Specialties & licenses 1

Addresses

Other names 1

• The Body Shop PT Clinic Doing business as

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1144495557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013042",
            "telephone_number": "928-214-7303",
            "fax_number": "928-214-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013042",
            "telephone_number": "928-214-7303",
            "fax_number": "928-214-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WAYNE MILLER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-214-7303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "6213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Body Shop PT Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savanna Arlene Roan
• Frances M Robbins, PH.D.
• Spencer Roberson, MD
• Robert a Mackin, MD Dba Northern Arizona Sleep Lab
• Robert J. Brownsberger, MD PC
• Audrey Jean Roberts, MD
• Diana Ray Roberts, COTA/L
• Jennifer Roberts
• Brittany Robertson, M.D.
• Jessica Lorraine Robertson, DMD

• Physical Therapy Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.