Healthcare Provider Details

I. General information

NPI: 1598689242
Provider Name (Legal Business Name): JENNIFER LYNN MILLER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 HUFFMAN MILL RD STE 203
BURLINGTON NC
27215-5113
US

IV. Provider business mailing address

102 WHITE POPLAR DR
ELON NC
27244-9426
US

V. Phone/Fax

Practice location:
  • Phone: 336-815-5512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP15466
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: