Individual provider Active NPI

Michelle Annette Miller, PT

  • Physical Therapist
  • Amarillo, TX
National Provider Identifier
1548426109
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1121747 Issued in TX
Practice address
1910 Medi Park Dr
Amarillo, TX 79106-2187
Phone
(806) 457-4700
NPI assigned
Aug 4, 2008
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1121747 TX Primary

Addresses

Primary practice location

1910 Medi Park Dr
Amarillo, TX 79106-2187

Mailing address

3501 S Soncy Rd
Ste 137
Amarillo, TX 79119-6406
Phone (806) 331-6084

Other practice location 1

115 E Texas Blvd
Dalhart, TX 79022-4319
Phone (806) 244-0015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107000506 TX Practitioner - Physical Therapist in Private Practice 1153753470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Century Rehabilitation of Texas LLC Physical Therapist CurrentSince May 17, 2024 Accepting new patients
Baptist Community Services PastSince Sep 20, 2020 Accepting new patients

Locations

4703 Bluebonnet Blvd
Baton Rouge, LA 70809
Phone (225) 761-2222

1510 S Van Buren St
Amarillo, TX 79101
Phone (806) 337-4000

1511 S Van Buren St
Amarillo, TX 79101
Phone (806) 337-4144

400 W 14th Ave
Amarillo, TX 79101
Phone (806) 337-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1548426109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S SONCY RD",
            "address_2": "STE 137",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196406",
            "telephone_number": "806-331-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MEDI PARK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062187",
            "telephone_number": "806-457-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 E Texas Blvd",
            "address_purpose": "LOCATION",
            "city": "Dalhart",
            "state": "TX",
            "postal_code": "790224319",
            "country_code": "US",
            "telephone_number": "806-244-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELLE",
        "middle_name": "ANNETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1121747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.