Active NPI
Reece Estavan Miller
- Physical Therapist
- St Petersburg, FL
National Provider Identifier
1275419541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT43581
- Practice address
- 5165 34TH St S
St Petersburg, FL 33711-4515 - Phone
- (727) 867-0737
- NPI assigned
- Aug 13, 2025
- Sex
- Male
- 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 | PT43581 | FL | Primary |
Addresses
Primary practice location
5165 34TH St S
St Petersburg, FL 33711-4515
Mailing address
8851 US Highway 19 N Apt 1432
Pinellas Park, FL 33782-5836
Phone (609) 674-3779
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT43581 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1275419541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8851 US HIGHWAY 19 N APT 1432",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337825836",
"telephone_number": "609-674-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 34TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337114515",
"telephone_number": "727-867-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "REECE",
"middle_name": "ESTAVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT43581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.