MEDICARE: JOSEPH M MILLER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL0012619	CO
2	225100000X	Physical Therapist	2305203747	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0012619	OTHER	CO	DORA

General Provider Information

NPI Number	:	1730231457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH M MILLER PT

Provider Business Mailing Address
First Line	:	1202 E FILLMORE ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-6402
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 E FILLMORE ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-6402
Country	:	US
Telephone Number	:	719-895-1722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	04/29/2026

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Directions to “ JOSEPH M MILLER PT” Practice Location

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