Individual provider Active NPI

Gracelynn Gene Miller, PT, DPT

  • Physical Therapist
  • Peachtree City, GA
National Provider Identifier
1376300079
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61526686 Issued in WA
Practice address
277 Highway 74 N Ste 203
Peachtree City, GA 30269-1571
Phone
(678) 364-0337
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61526686 WA Primary
Physical Therapist 225100000X CP051260T GA

Addresses

Primary practice location

277 Highway 74 N Ste 203
Peachtree City, GA 30269-1571

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

1310 W Stewart Dr Ste 404
Orange, CA 92868-3855
Phone (714) 707-6466

Other practice location 2

3022 E 57th Ave Ste 19
Spokane, WA 99223-7033
Phone (509) 443-9323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329002065 WA Practitioner - Physical Therapist in Private Practice 2567800329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

13555 SE 36th St
Ste 100
Bellevue, WA 98006

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

3022 E 57th Ave
Ste 19
Spokane, WA 99223
Phone (509) 443-9323

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

Organizations & group practices 8

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1376300079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HIGHWAY 74 N STE 203",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691571",
            "telephone_number": "678-364-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 W Stewart Dr Ste 404",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683855",
            "country_code": "US",
            "telephone_number": "714-707-6466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3022 E 57th Ave Ste 19",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992237033",
            "country_code": "US",
            "telephone_number": "509-443-9323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GRACELYNN",
        "middle_name": "GENE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61526686",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP051260T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.