Active NPI
Danyelle C Miller, DPT
- Physical Therapist
- Richmond Hill, GA
National Provider Identifier
1417515149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014560
- Practice address
- 2453 US Highway 17 Ste G
Richmond Hill, GA 31324-5960 - Phone
- (912) 445-5612
- Fax
- (912) 445-5653
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007272 | KY | |
| Physical Therapist | 225100000X | PT014560 | GA | Primary |
Addresses
Primary practice location
2453 US Highway 17 Ste G
Richmond Hill, GA 31324-5960
Mailing address
2453 US Highway 17 Ste G
Richmond Hill, GA 31324-5960
Phone (912) 445-5612
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014560 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1417515149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2453 US HIGHWAY 17 STE G",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313245960",
"telephone_number": "912-445-5612",
"fax_number": "912-445-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2453 US HIGHWAY 17 STE G",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313245960",
"telephone_number": "912-445-5612",
"fax_number": "912-445-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DANYELLE",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007272",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.