Active NPI
Brandie Marie Miller, MPT
- Physical Therapist
- Murrells Inlet, SC
National Provider Identifier
1164636239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9228
- Practice address
- 699 Prince Creek Pkwy
Murrells Inlet, SC 29576-6622 - Phone
- (843) 353-1525
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9228 | SC | Primary |
Addresses
Primary practice location
699 Prince Creek Pkwy
Murrells Inlet, SC 29576-6622
Mailing address
341 Oak Haven Dr
Murrells Inlet, SC 29576-6618
Phone (815) 440-1216
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9228 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1164636239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 OAK HAVEN DR",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295766618",
"telephone_number": "815-440-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 PRINCE CREEK PKWY",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295766622",
"telephone_number": "843-353-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRANDIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.