Active NPI
Kelley K Miller, MMP
- Mechanotherapist
- McKinney, TX
National Provider Identifier
1992568836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MT128803
- Practice address
- 2001 Auburn Hills Pkwy Ste 604
McKinney, TX 75071-3572 - Phone
- (760) 846-1442
- NPI assigned
- Feb 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MT128803 | TX | Primary |
Addresses
Primary practice location
2001 Auburn Hills Pkwy Ste 604
McKinney, TX 75071-3572
Mailing address
2001 Auburn Hills Pkwy Ste 604
McKinney, TX 75071-3572
Phone (760) 846-1442
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT128803 | TX | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1992568836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 AUBURN HILLS PKWY STE 604",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750713572",
"telephone_number": "760-846-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 AUBURN HILLS PKWY STE 604",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750713572",
"telephone_number": "760-846-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KELLEY",
"middle_name": "K",
"credential": "MMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "TX",
"license": "MT128803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.