Jessica Miller, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2139156 Issued in TX

Practice address

3100 Olympus Blvd Ste 500
Coppell, TX 75019-5473

Phone

(800) 521-5060

NPI assigned

Jan 31, 2024

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1801659040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14935 PRICKLY PEAR CV",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773547178",
            "telephone_number": "832-955-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD STE 500",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195473",
            "telephone_number": "800-521-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSICA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2139156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metroplex Pathology Associates
• Sheila Patricia Michalke, NP
• Andrea Miles, MA, LPC
• James Miller Jr., CRNA
• Jessica Miller, PT, DPT
• Jodi Miller, FNP
• Yolande Millhorn, LMT
• Pezhman Mirzakhani, LSA
• Courtney Shae Mitchell, LPC
• Mobile Gentle Dentistry PLLC

• Physical Therapy Assistant in Coppell, TX
• Providers in Coppell, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.