Individual provider Active NPI

Kaylee Jo Miller, DPT

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1366321135
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16837 Issued in TN
Practice address
4515 Poplar Ave Ste 210
Memphis, TN 38117-7506
Phone
(901) 728-6912
Fax
(901) 701-2428
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16837 TN Primary

Addresses

Primary practice location

4515 Poplar Ave Ste 210
Memphis, TN 38117-7506

Mailing address

4515 Poplar Ave Ste 210
Memphis, TN 38117-7506
Phone (901) 728-6912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021001838 TN Practitioner - Physical Therapist in Private Practice 1355839598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Arkansas College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK Group PCGroup PAC ID 4688574262, 138 clinicians

Practice addresses (Care Compare)

4515 Poplar Ave
Suite 206
Memphis, TN 38117-7506
Phone (901) 641-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist CurrentSince Sep 3, 2025 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Sep 3, 2025 Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients

Locations

4515 Poplar Ave
Ste 206
Memphis, TN 38117
Phone (901) 381-4664

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

1244 Primacy Pkwy
Memphis, TN 38119
Phone (901) 767-8662

4515 Poplar Ave
Ste 210
Memphis, TN 38117
Phone (901) 728-6912

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1366321135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 POPLAR AVE STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177506",
            "telephone_number": "901-728-6912",
            "fax_number": "901-701-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 POPLAR AVE STE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381177506",
            "telephone_number": "901-728-6912",
            "fax_number": "901-701-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAYLEE",
        "middle_name": "JO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.