Laura M Miller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10632 Issued in TN

Practice address

1282 Turkey Creek Dr
Tullahoma, TN 37388-4672

Phone

(931) 581-9018

Fax

(931) 623-6133

NPI assigned

Sep 1, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Tullahoma Pediatric Therapy, LLC

  • Physical Therapist
  • Tullahoma, TN
  • NPI 1063042166

  Physical Medicine & Rehabilitation

  NPD Authorized official

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1306153192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 TURKEY CREEK DR",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884672",
            "telephone_number": "931-581-9018",
            "fax_number": "931-623-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 TURKEY CREEK DR",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884672",
            "telephone_number": "931-581-9018",
            "fax_number": "931-623-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5810 Shelby Oaks Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381347315",
            "country_code": "US",
            "telephone_number": "931-581-9018",
            "fax_number": "931-623-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "10632",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "10632",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "6187",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q043837",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid South Community Pathology
• Middle Tennessee Oral & Maxillofacial Surgery
• William M Milam, M.D.
• Chasity Nicole Miller
• Justin Neal Miller, MD
• Amy Katherine Milligan, B.S
• Sydney Minton, CCC-SLP
• Robyn Lee Mitchell, R.N.
• Mittur N Ramprasad MD PC
• Tanya S Mohsen, DDS

• All providers in Tullahoma, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.