Grace Ganuelas Miller, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1035665 Issued in TX

Practice address

4928 Samuell Blvd
Mesquite, TX 75149-1027

Phone

(214) 328-1400

Fax

(214) 328-2884

NPI assigned

Dec 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679633473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 SAMUELL BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491027",
            "telephone_number": "214-328-1400",
            "fax_number": "214-328-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 SAMUELL BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491027",
            "telephone_number": "214-328-1400",
            "fax_number": "214-328-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GRACE",
        "middle_name": "GANUELAS",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1035665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8T1001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michel Stephan MD PA
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• Millennial Transportation Services
• Lance J Miller, D.O.
• Linus J Miller, DO
• Jennifer Milligan
• Patricia Parker Milligan, M.S., LPC
• Miloc Corporation

• Physical Therapist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.