David Lawrence Miller

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002732 Issued in KY

Practice address

The Grand of Prospect
9300 Civic Way
Prospect, KY 40059

Phone

(502) 233-3855

NPI assigned

Apr 12, 2021

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Louisville, KY
  • NPI 1457847659
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1972183226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10628 HITE CREEK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411702",
            "telephone_number": "502-974-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE GRAND OF PROSPECT",
            "address_2": "9300 CIVIC WAY",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "40059",
            "telephone_number": "502-233-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Metts
• Donna A. Meyer, P.T.
• Mian Consulting, Inc
• Milburn Services, Inc
• Sandra Meadows Milburn, P.T.
• Jessica Miller
• Kelly Elizabeth Miller, MS, CCC-SLP
• Natalie Ann Miller
• Sarah Morgan Peterson Mitchell, D.M.D.
• Allison Leigh Montgomery

• Physical Therapist in Prospect, KY
• Providers in Prospect, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.