Amanda Miller, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA01359300 Issued in NJ

Practice address

187 Millburn Ave Ste 110
Millburn, NJ 07041-1845

Phone

(973) 467-7976

NPI assigned

Aug 4, 2010

Last updated

Jun 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amanda Wells Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1639483431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SHADY LN",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231750",
            "telephone_number": "908-347-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE STE 110",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411845",
            "telephone_number": "973-467-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01359300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WELLS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Millburn Primary Care LLC
• Millburn Sleep Dentistry
• Millburn Surgical Associates PA
• Millburn Total Wellness LLC
• Millburn Township Board of Education
• Suzanna P. Miller, CRNA
• Yael Miller, MD
• Mind Power & Wellness, LLC
• Mindful Pathway Center of NJ, LLC
• Dave Mistry

• Specialist in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.