Luke Christopher Miller, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1308337 Issued in TX

Practice address

1409 S Lamar St
Dallas, TX 75215-1871

Phone

(620) 257-8289

NPI assigned

Oct 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Pro Sport Performance Therapy

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Frisco, TX
  • NPI 1770311375
  NPD (past)

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1821697343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N SENATE AVE UNIT 643",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041259",
            "telephone_number": "620-257-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 S LAMAR ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752151871",
            "telephone_number": "620-257-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LUKE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1308337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "05013593A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1308337",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Bushong Miller, M.A., L.P.C.
• Linda Sue Miller, M.D.
• Lisa Miller
• Lorence Steven Miller, PHD
• Lorisa Marie Miller, MS, CCC-SLP
• Madison Miller
• Makensie Miller, LPC
• Marquette Yvlonda Miller
• Marsha R Miller, DC
• Matthew Miller, MD

• Physical Medicine & Rehabilitation Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.