Active NPI
Whitney Lynn Miller, PT, DPT
- Physical Therapist
- Justin, TX
National Provider Identifier
1225720204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1381000
- Practice address
- 15080 FM 156 Ste B
Justin, TX 76247-7924 - Phone
- (940) 242-6641
- Fax
- (940) 242-6642
- NPI assigned
- May 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1381000 | TX | Primary |
| Physical Therapist | 225100000X | 3130762 | TX |
Addresses
Primary practice location
15080 FM 156 Ste B
Justin, TX 76247-7924
Mailing address
120 County Road 4657
Rhome, TX 76078-5145
Phone (817) 688-0350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231003003909 | TX | Practitioner - Physical Therapist in Private Practice | 0941654388 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3130762 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Squyres Investments LLC | Physical Therapist | Past | Accepting new patients |
| Core Rehabilitation | Past | Accepting new patients |
Organizations & group practices 2
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 Therapy Clinic/Center
- Fort Worth, TX
- NPI 1871043646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1225720204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 COUNTY ROAD 4657",
"city": "RHOME",
"state": "TX",
"postal_code": "760785145",
"telephone_number": "817-688-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15080 FM 156 STE B",
"city": "JUSTIN",
"state": "TX",
"postal_code": "762477924",
"telephone_number": "940-242-6641",
"fax_number": "940-242-6642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WHITNEY",
"middle_name": "LYNN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1381000",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3130762",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Justin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.