Healthcare Provider Details

I. General information

NPI: 1477080695
Provider Name (Legal Business Name): JACOB M MILLER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9412 ED ROBSON BLVD
DENTON TX
76207
US

IV. Provider business mailing address

PO BOX 176
ARGYLE TX
76226-0176
US

V. Phone/Fax

Practice location:
  • Phone: 682-999-8766
  • Fax: 682-444-7265
Mailing address:
  • Phone: 682-999-8766
  • Fax: 682-444-7265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1291448
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: