Brian Michael Miracle, DPT, OCS
Individual provider Active NPI Orthopedic Physical Therapist · Little Rock Afb, AR
NPI 1992860837 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1992860837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- Practice address
- 1090 Arnold Dr
Little Rock Afb, AR 72099-4933 - Phone
- (501) 987-7466
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Orthopedic Physical Therapist | 2251X0800X | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Mailing address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-7466
Other providers in Little Rock Afb, AR
- Skylar McMath
- Ian B McQueen
- Jenisha Rae Mermis
- Jena Elaine Miesner
- Katherine Milligan
- Svetlana Morrell
- Freddy Russell Nail
- Leeanne Elizabeth Ogle
- Rito A Orozco Jaramillo
- Kapiolani M Plichta
All providers in Little Rock Afb, AR · Orthopedic Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.