Active NPI
Joan Miller, P.T.
- Sports Physical Therapist
- Lakeland, FL
National Provider Identifier
1568670644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PTFL4075
- Practice address
- 3020 S Florida Ave
Abbey Business Park, Ste 321-B
Lakeland, FL 33803-4053 - Phone
- (863) 644-7330
- NPI assigned
- May 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PTFL4075 | FL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PTFL4075 | FL |
Addresses
Primary practice location
3020 S Florida Ave
Abbey Business Park, Ste 321-B
Lakeland, FL 33803-4053
Mailing address
PO Box 7504
Lakeland, FL 33807-7504
Phone (863) 644-7330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTFL4075 | FL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1568670644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7504",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338077504",
"telephone_number": "863-644-7330",
"fax_number": "863-619-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 S FLORIDA AVE",
"address_2": "ABBEY BUSINESS PARK, STE 321-B",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338034053",
"telephone_number": "863-644-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOAN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "FL",
"license": "PTFL4075",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PTFL4075",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.