Laura J Miller, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT007508 Issued in GA

Practice address

1278 McAllistar Dr
Locust Grove, GA 30248-2480

Phone

(678) 758-5753

NPI assigned

Jan 24, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Precious Resources, Inc.

  • Early Intervention Provider Agency
  • Stockbridge, GA
  • NPI 1306092291
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1710032487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 MCALLISTAR DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482480",
            "telephone_number": "678-758-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 MCALLISTAR DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482480",
            "telephone_number": "678-758-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT007508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCoy Lab Services LLC
• Chelsea McLendon, PT, DPT
• Lauren Makenna Meadows, FNP
• MG Lab Services LLC.
• Michelle Gwyn DDS, PC
• Tessa Ree Mingo
• Mint Medical Supplies LLC
• Brandi Nicole Buice Minter, PHARM, D.
• Mobile Life Transportation
• Modish Beaute LLC

• Pediatric Physical Therapist in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.