Kelly Nicole Miller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1331770 Issued in TX

Practice address

2765 E Eldorado Pkwy Ste 210
Little Elm, TX 75068-5607

Phone

(972) 987-4927

Fax

(972) 987-4929

NPI assigned

Jul 16, 2020

Sex

Female

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peak Physical Therapy, LLC

  • Physical Therapist
  • Prosper, TX
  • NPI 1700271913
  Medicare reassignment Care Compare group NPD
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Wylie, TX
  • NPI 1861887069
  NPD
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1922493261
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1235747155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-541-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 E ELDORADO PKWY STE 210",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685607",
            "telephone_number": "972-987-4927",
            "fax_number": "972-987-4929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Main St Ste 316",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750562238",
            "country_code": "US",
            "telephone_number": "469-388-1139",
            "fax_number": "469-388-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1331770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Care & Services, LLC
• Mended Soul Counseling Services, PLLC
• Amari Mylan Mercadel
• Metropolitan Home Health Services LLC
• Elizabeth Miller
• Bianca Martinique Milliern, LMHC
• Adam Milroy, DC
• Raven Mims, M.S., LPC
• Mindfully Aligned, LLC
• Tasha Mitchell

• Physical Therapist in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.