Active NPI
Joshua D Miller, DPT
- Physical Therapist
- Douglasville, GA
National Provider Identifier
1356739023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011765
- Practice address
- 9390 The Landing Dr
Suite 201
Douglasville, GA 30135-7180 - Phone
- (770) 852-1692
- Fax
- (770) 852-1694
- NPI assigned
- Jan 5, 2015
- 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 | PT011765 | GA | Primary |
Addresses
Primary practice location
9390 The Landing Dr
Suite 201
Douglasville, GA 30135-7180
Mailing address
PO Box 242278
Montgomery, AL 36124-2278
Phone (334) 396-3273
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1356739023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 242278",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361242278",
"telephone_number": "334-396-3273",
"fax_number": "334-396-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9390 THE LANDING DR",
"address_2": "SUITE 201",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301357180",
"telephone_number": "770-852-1692",
"fax_number": "770-852-1694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOSHUA",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.