Sallie Caroline Miller, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160002755 Issued in IL

Practice address

12801 N Central Expy
Suite 1750
Dallas, TX 75243-1716

Phone

(877) 293-6287

NPI assigned

Jul 8, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1326489253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 S 23RD ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622267541",
            "telephone_number": "618-960-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 N CENTRAL EXPY",
            "address_2": "SUITE 1750",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431716",
            "telephone_number": "877-293-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SALLIE",
        "middle_name": "CAROLINE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160002755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Miller, LPC
• Raechelle Miller
• Richard Glenn Miller, DDS
• Rick W Miller, D.D.S
• Rodney Thomas Miller, M.D.
• Samuel C Miller, MD
• Sean Miller
• Spencer Owen Miller, MD
• Stephanie Brooke Miller, PH.D., LPC
• Stephen Edward Miller, AU.D.

• Physical Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.