Brian G Miller, P.T., O.C.S.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501004717 Issued in MI

Practice address

712 Chippewa SQ
Suite 101
Marquette, MI 49855-4827

Phone

(906) 225-9846

Fax

(906) 225-9848

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1700877917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 CHIPPEWA SQ",
            "address_2": "SUITE 101",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554827",
            "telephone_number": "906-225-9846",
            "fax_number": "906-225-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 CHIPPEWA SQ",
            "address_2": "SUITE 101",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554827",
            "telephone_number": "906-225-9846",
            "fax_number": "906-225-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRIAN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "P.T., O.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501004717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104381658",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0M90730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mansour Miky, M.D.
• Mark Campbell Miles, PT
• Milestones and Mobility Center, Inc.
• Cecily Milkie, LPN
• Mill Creek Memory Care Community
• Bruce David Miller
• Emily Joy Miller, MSW
• Lynn E Miller, MD
• Mindy Sue Miller, MSW CSW
• Ryan Jacob Miller

• Orthopedic Physical Therapist in Marquette, MI
• Providers in Marquette, MI by specialty
• Orthopedic Physical Therapist in Michigan

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