Michael Eugene Miller, PTA, EMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT 5475 Issued in CA

Practice address

4655 Ruffner St
Suite 270
San Diego, CA 92111-2275

Phone

(800) 787-6787

Fax

(800) 787-6762

NPI assigned

May 14, 2007

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)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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.

• Preferred Healthcare

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1689995045
  NPD (past)
• Preferred Healthcare Registry

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1386844017
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1154537637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902540010",
            "telephone_number": "310-968-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 RUFFNER ST",
            "address_2": "SUITE 270",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112275",
            "telephone_number": "800-787-6787",
            "fax_number": "800-787-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "PTA, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 5475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rebecca Miller, RN
• Matthew Clifton Miller
• McKenna M Miller
• Megan Miller
• Melissa Miller, LCSW
• Michael James Miller, MFT
• Michael John Miller, M.D.
• Michelle Miller, LCSW
• Michelle Nicole Miller
• Nancy Miller, M.D.

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.