Jason Brent Miller, PT, CCS, CWS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

31378 Issued in FL

Practice address

19484 SW 60TH CT
Southwest Ranches, FL 33332-3346

Phone

(786) 496-2144

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• 123Wounds LLC

  • General Practice Physician
  • Cooper City, FL
  • NPI 1972468510
  Medicare reassignment

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1568586188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19484 SW 60TH CT",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333323346",
            "telephone_number": "786-496-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19484 SW 60TH CT",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333323346",
            "telephone_number": "786-496-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "PT, CCS, CWS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1155820",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Maceda-Johnson
• Clara Macias
• Cristina Victoria Marmanillo
• Chau McGovern, D.D.S.
• Brigid Melo Moreno
• Mobile Apheresis, Inc.
• Moody Manor, Inc
• Kevin Kok-Foo NG, MD
• Khanh Tam Nguyen, PHARM.D.
• Obesity Diabetes and Metabolism Center of South Florida PA

• Physical Therapist in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.