Mackenzie Miller, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016821 Issued in GA

Practice address

239 Village Center Pkwy Ste 190
Stockbridge, GA 30281-6396

Phone

(770) 628-1500

NPI assigned

Aug 31, 2023

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

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.

• Children's 1St Rehabilitation Center, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Stockbridge, GA
  • NPI 1265046346
  NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1336924810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 OAK HILL TER",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158058",
            "telephone_number": "815-821-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 VILLAGE CENTER PKWY STE 190",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816396",
            "telephone_number": "770-628-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MACKENZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alnisha Mickle
• Midtown Surgical Assistants
• Nekeisha Miles-Taylor
• Lakriesha Millay
• Jill Dana Miller, M.D.
• Sharon Denise Miller, M. A. CCC/SLP
• Tabitha Miller
• Jordan Olushegun Millette
• Aliyah Milner
• Kenneth M Mims, MD

• Physical Therapist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.