Marc Miller
Individual provider Active NPI Physical Therapist · Velva, ND
NPI 1154777944 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1154777944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2024 (ND)
- Practice address
- 300 Main St S
Velva, ND 58790-7342 - Phone
- (701) 338-2072
- NPI assigned
- May 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024 | ND | MD | Clinical Social Worker |
| 291043 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 291043 | CA | |
| Physical Therapist | 225100000X | 2024 | ND | Yes |
Addresses
Primary practice location
300 Main St S
Velva, ND 58790-7342
Mailing address
300 Main St S
Velva, ND 58790-7342
Other providers in Velva, ND
- Sara Jayne Klein
- Bethany A Kraft
- Tracy Krueger
- Kendra L Larsen
- Deanna Rae Mascol
- Nicole Wilson Aprn Pmhnp-BC PLLC
- Nicole Petersen
- Shelly Jo Pross
- Souris Valley Care Center
- Souris Valley Care Center, Inc.
All providers in Velva, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.