Whitney Shealy Miller, PT, GCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8406 Issued in SC

Practice address

1129 Burdell Fuller Rd
Little Mountain, SC 29075-9320

Phone

(803) 917-3286

NPI assigned

May 15, 2008

Last updated

Aug 2, 2021By 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 3

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ageless at Home, LLC

  • Physical Therapy Clinic/Center
  • Little Mountain, SC
  • NPI 1073282547
  NPD Authorized official

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1871760108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 BURDELL FULLER RD",
            "city": "LITTLE MOUNTAIN",
            "state": "SC",
            "postal_code": "290759320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 BURDELL FULLER RD",
            "city": "LITTLE MOUNTAIN",
            "state": "SC",
            "postal_code": "290759320",
            "telephone_number": "803-917-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WHITNEY",
        "middle_name": "SHEALY",
        "credential": "PT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204426",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3467",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally B Dominick, RN
• Eau Claire Cooperative Health Center Inc. (Little Mountain Pediatrics and Family Practice)
• Leigha Harbert, OTR/L
• David Edward Lewis, LPC
• Little Mountain Dental, PA
• Newberry County Memorial Hospital (Little Mountain Family Health Center)
• Newberry Family Heatlh Center
• Ann Louise Pitner
• Kayla Price
• Rivers Amick Counseling Services (Toni N. Amick)

• Physical Therapist in Little Mountain, SC
• Providers in Little Mountain, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.