Corey D Miller, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305216935 Issued in VA

Practice address

12216 W Broad St Ste 4B-5
Henrico, VA 23233-1062

Phone

(804) 533-0071

Fax

(804) 200-7124

NPI assigned

Feb 21, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athlon Physical Therapy, IncGroup PAC ID 1850338401, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Athlon Physical Therapy, Inc

  • Physical Therapist
  • Moon Township, PA
  • NPI 1093763468
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1427854322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715868",
            "telephone_number": "804-915-1910",
            "fax_number": "804-968-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12216 W BROAD ST STE 4B-5",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331062",
            "telephone_number": "804-533-0071",
            "fax_number": "804-200-7124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Cherrington Pkwy # 201",
            "address_purpose": "LOCATION",
            "city": "Moon Twp",
            "state": "PA",
            "postal_code": "151084318",
            "country_code": "US",
            "telephone_number": "412-264-6192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COREY",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-02-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033122",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Milanovic
• Angelina Miles
• Annesha Milien, MD
• Aaron Christopher Miller, ATC
• Carolyn Elizabeth Ghezzi Miller, M.S., P.T.
• Danielle Miller
• Lisa Miller
• Molly Miller
• Sierra Miller
• Jamaya Chardae Mills

• Physical Therapist in Henrico, VA
• Providers in Henrico, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.