Healthcare Provider Details

I. General information

NPI: 1659387389
Provider Name (Legal Business Name): MICHELE MILLER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELE BEGANY PT

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/29/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6955 HOSPITAL DR
DUBLIN OH
43016-8580
US

IV. Provider business mailing address

6955 HOSPITAL DR
DUBLIN OH
43016-8580
US

V. Phone/Fax

Practice location:
  • Phone: 614-689-3401
  • Fax:
Mailing address:
  • Phone: 614-689-3401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT005889
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number007397
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019051
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: