Individual provider Active NPI

Leonard C Miller, R.T.

  • Pulmonary Rehabilitation Certified Respiratory Therapist
  • Melbourne, FL
National Provider Identifier
1346674876
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Certified Respiratory TherapistTaxonomy code 2278P1005X
License
TT 11508 Issued in FL
Practice address
1698 W Hibiscus Blvd Ste a
Melbourne, FL 32901-2639
Phone
(321) 768-6119
Fax
(321) 768-1710
NPI assigned
Sep 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Certified Respiratory Therapist 2278P1005X TT 11508 FL Primary

Addresses

Primary practice location

1698 W Hibiscus Blvd Ste a
Melbourne, FL 32901-2639

Mailing address

1698 W Hibiscus Blvd Ste a
Melbourne, FL 32901-2639
Phone (321) 768-6119

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

LicenseStateTypeSpecialty
TT 11508FLMDPulmonary Rehabilitation Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1346674876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 W HIBISCUS BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012639",
            "telephone_number": "321-768-6119",
            "fax_number": "321-768-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 W HIBISCUS BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012639",
            "telephone_number": "321-768-6119",
            "fax_number": "321-768-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LEONARD",
        "middle_name": "C",
        "credential": "R.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": "FL",
            "license": "TT 11508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.