Stacy Millen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2067546 Issued in TX

Practice address

6931 River Park Cir
Fort Worth, TX 76116-8465

Phone

(817) 731-7611

NPI assigned

Sep 9, 2025

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)

Not enrolled

State licenses

Practice roles

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.

• Southwest LTC - Fort Worth Alf, LLC

  dba Colonial Gardens of Fort Worth FW-2

  • Assisted Living Facility
  • Fort Worth, TX
  • NPI 1760914469
  NPD (past)

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1538040381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 LONGMEADOW WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337407",
            "telephone_number": "817-875-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 RIVER PARK CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168465",
            "telephone_number": "817-731-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLEN",
        "first_name": "STACY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2067546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Elizabeth Milhoan
• Liana Marie Milis, DO
• Biljana Miljatovic, PHARMD
• Phillip Millan, PTA
• Millard L Tierce IV DO
• Miller Dental
• Miller Dental PLLC (Miller Dental & Orthodontics)
• Aaron Miller, PT, DPT, FAAOMPT
• Alison J Miller, PT
• Amanda Rae Miller, APRN, FNP-C

• Physical Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.