Active NPI
Michelle Miller, DPT
- Physical Therapist
- Quantico, VA
National Provider Identifier
1174809305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208491
- Practice address
- 3259 Catlin Ave
Quantico, VA 22134-5109 - Phone
- (703) 784-1793
- NPI assigned
- Nov 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305208491 | VA | Primary |
| Physical Therapist | 225100000X | P13229 | NC |
Addresses
Primary practice location
3259 Catlin Ave
Quantico, VA 22134-5109
Mailing address
3259 Catlin Ave
Quantico, VA 22134-5109
Phone (703) 784-1793
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 |
|---|---|---|---|
| P13229 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Health Physiotherapy PLLC | Physical Therapist | Current | Accepting new patients |
| Peak Performance Sports and Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. | Past | Accepting new patients |
Locations
2756 Richlands Hwy
Jacksonville, NC 28540
Phone (910) 378-0147
2009 Neuse Blvd
New Bern, NC 28560
Phone (252) 636-9800
Organizations & group practices 3
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.
-
- Physical Therapist
- Lorton, VA
- NPI 1275491425
-
- Physical Therapist
- New Bern, NC
- NPI 1194714063
-
- Specialist
- Jacksonville, NC
- NPI 1164482402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1174809305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3259 CATLIN AVE",
"city": "QUANTICO",
"state": "VA",
"postal_code": "221345109",
"telephone_number": "703-784-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3259 CATLIN AVE",
"city": "QUANTICO",
"state": "VA",
"postal_code": "221345109",
"telephone_number": "703-784-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208491",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P13229",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quantico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.