Larry Daniel Miles, LPTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTA4663 Issued in AL

Practice address

1514 Owens St
Gadsden, AL 35904-4938

Phone

(256) 543-1030

Fax

(256) 439-2830

NPI assigned

Apr 28, 2010

Last updated

Apr 28, 2010By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1801113030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 OWENS ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359044938",
            "telephone_number": "256-543-1030",
            "fax_number": "256-439-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 OWENS ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359044938",
            "telephone_number": "256-543-1030",
            "fax_number": "256-439-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "LARRY",
        "middle_name": "DANIEL",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTA4663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "7007471",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.