Stephanie Miller, PT, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT015035 Issued in GA

Practice address

313 Furys Ferry Rd
Martinez, GA 30907-3001

Phone

(706) 955-2275

NPI assigned

Nov 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1457952509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 ROSE MOSS CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FURYS FERRY RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309073001",
            "telephone_number": "706-955-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Lake St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314112966",
            "country_code": "US",
            "telephone_number": "912-295-4246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "PT015035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredicia Miles
• Donovan Emmanuel Allen Miller
• Kelley Miller, FNP-C
• Rashaka Miller
• Sabrina Miller, PHLEBOTOMIST TECH
• Jaiyviah Mills
• Jin Ki Min
• Minaxi, LLC
• Alissa Mincey
• Deborah W Mitchell

• Geriatric Physical Therapist in Martinez, GA
• Providers in Martinez, GA by specialty
• Geriatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.