Active NPI
Sandra Lee Miller
- Rehabilitation Practitioner
- The Woodlands, TX
National Provider Identifier
1417572884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- C2499
- Practice address
- 2002 Timberloch PL Ste 200
The Woodlands, TX 77380-1182 - Phone
- (713) 855-3306
- Fax
- (281) 955-0761
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | C2499 | TX | Primary |
Addresses
Primary practice location
2002 Timberloch PL Ste 200
The Woodlands, TX 77380-1182
Mailing address
2002 Timberloch PL Ste 200
The Woodlands, TX 77380-1182
Phone (713) 855-3306
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 |
|---|---|---|---|
| C2499 | TX | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1417572884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 TIMBERLOCH PL STE 200",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801182",
"telephone_number": "713-855-3306",
"fax_number": "281-955-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 TIMBERLOCH PL STE 200",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801182",
"telephone_number": "713-855-3306",
"fax_number": "281-955-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SANDRA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "TX",
"license": "C2499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.