Miller Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

368814 Issued in LA

Legal business name

MILLER PHYSICAL THERAPY INC

Practice address

3912 Parliament Dr
Alexandria, LA 71303-3015

Phone

(318) 487-0211

Fax

(318) 445-6697

NPI assigned

Feb 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wilvan Matthew Miller, P.T.NPI 1891760245

Title

Owner

Phone

(318) 487-0211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wilvan M Miller, P.T.

  • Physical Therapist
  • Alexandria, LA
  • NPI 1891760245
  Medicare reassignment Authorized official
• Brian D Warner, SLP

  • Speech-Language Pathologist
  • Alexandria, LA
  • NPI 1013942226
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1700850401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 PARLIAMENT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033015",
            "telephone_number": "318-487-0211",
            "fax_number": "318-445-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 PARLIAMENT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033015",
            "telephone_number": "318-487-0211",
            "fax_number": "318-445-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WILVAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-487-0211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "368814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS-LA CLINIC PROV #",
            "identifier": "C3524",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middleton Medical Corporation
• Sylvia Arredondo Middleton, L.C.S.W.
• Midsouth Medical, Inc.
• Miguel a Garcia-Caro MD LLC (Central Louisiana Rheumatology and Infusion Center)
• Peter Milder, MD
• Traci Denise Miller-Earl, LCSW
• Barbara Miller, RN
• Janice Marie Miller, LPC
• Kaitlin Harris Miller, NP
• Megan L Miller, CRNA

• Physical Therapy Clinic/Center in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.