Individual provider Active NPI

Stephen Lee Miller, PTA

  • Physical Therapy Assistant
  • Bradenton, FL
National Provider Identifier
1811501349
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
22713 Issued in FL
Practice address
4702 Cortez Rd W
Bradenton, FL 34210-2801
Phone
(941) 253-5166
NPI assigned
Sep 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 22713 FL Primary

Addresses

Primary practice location

4702 Cortez Rd W
Bradenton, FL 34210-2801

Mailing address

4702 Cortez Rd W
Bradenton, FL 34210-2801
Phone (941) 253-5166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22713FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Lifestyle Solutions LLC CurrentSince Sep 6, 2020 Accepting new patients
Transitions Rehabilitation, LLC Physical Therapy Assistant CurrentSince Sep 15, 2020 Accepting new patients

Locations

4702 Cortez Rd W
Bradenton, FL 34210
Phone (941) 201-6089

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1811501349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102801",
            "telephone_number": "941-253-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102801",
            "telephone_number": "941-253-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "22713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.