Active NPI
James Wirick Miller Jr., ATC, CSCS
- Specialist
- Boonville, IN
National Provider Identifier
1396733804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 36000455A
- Practice address
- 300 N 1St St
Boonville, IN 47601-1516 - Phone
- (812) 897-4701
- Fax
- (812) 897-6061
- NPI assigned
- Oct 10, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 36000455A | IN | Primary |
Addresses
Primary practice location
300 N 1St St
Boonville, IN 47601-1516
Mailing address
108 1/2 W Locust St
Boonville, IN 47601-1520
Phone (812) 897-2203
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36000455A | IN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396733804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 1/2 W LOCUST ST",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476011520",
"telephone_number": "812-897-2203",
"fax_number": "812-897-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N 1ST ST",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476011516",
"telephone_number": "812-897-4701",
"fax_number": "812-897-6061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JAMES",
"middle_name": "WIRICK",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "36000455A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.