Healthcare Provider Details

I. General information

NPI: 1093622375
Provider Name (Legal Business Name): LEXI MILLER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 STEDWICK CT
WILMINGTON NC
28412-3631
US

IV. Provider business mailing address

1120 MATTEO DR APT 211
WILMINGTON NC
28412-2116
US

V. Phone/Fax

Practice location:
  • Phone: 910-632-2671
  • Fax:
Mailing address:
  • Phone: 631-745-1047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: