Michael Miller, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1181 Issued in AL

Practice address

651 Main St
Suit 115
Gardendale, AL 35071-2789

Phone

(205) 608-3113

NPI assigned

Apr 15, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1962856989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 MAIN ST",
            "address_2": "SUIT 115",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712789",
            "telephone_number": "205-608-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 MAIN ST",
            "address_2": "SUIT 115",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712789",
            "telephone_number": "205-608-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Meadows
• Loran Meadows, D.C.
• Kristen L Messina
• Midwife Rebekah LLC
• Lisa Shea Miller
• Rachel A Miller
• Jared Mims, DPT
• Karmen L Mitchell, MS, OTR/L
• Robert W Mitchell, M.D.
• Rebecca Moerbe, LICSW

• Athletic Trainer in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.