Active NPI
Wade O Miller, PT
- Physical Therapist
- Taos, NM
National Provider Identifier
1295792794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1793
- Practice address
- 1397A Weimer Road
Taos, NM 87571 - Phone
- (505) 737-0304
- NPI assigned
- Apr 27, 2006
- 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 | 1793 | NM | Primary |
Addresses
Primary practice location
1397A Weimer Road
Taos, NM 87571
Mailing address
1397A Weimer Road, PO Box DD
Taos, NM 87571
Phone (505) 737-0304
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 |
|---|---|---|---|
| 1793 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295792794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1397A WEIMER ROAD, PO BOX DD",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-737-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397A WEIMER ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-737-0304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WADE",
"middle_name": "O",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.