Brandy Lynn Miller-Wilks, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1876 Issued in AK

Practice address

50920 Van Dyke Ave
Shelby Township, MI 48317-1367

Phone

(586) 330-0872

Fax

(866) 630-0604

NPI assigned

Jan 2, 2008

Last updated

Aug 25, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Pediatric Motorwerks Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Shelby Township, MI
  • NPI 1922532571
  Authorized official Same address or phone
• Pediatric Motorwerks Occupational Therapy, LLC

  • Clinic/Center
  • Shelby TWP, MI
  • NPI 1700310539

  Pediatrics

  NPD

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1760667471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50920 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483171367",
            "telephone_number": "586-330-0872",
            "fax_number": "866-630-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50920 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483171367",
            "telephone_number": "586-330-0872",
            "fax_number": "866-630-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-WILKS",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AK",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Surgery Specialists, P.C.
• Michelle Mickey, RPH
• Mirna Evan Mikhael
• Nariman Mikhael
• Zoran Milenkovich, DC
• Anne Marie Miller, MA LPC CAADC
• Destiny Miller
• Emma Miller
• Kayla Rayne Miller
• Riley Miller

• Pediatric Physical Therapist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Pediatric Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.