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1225720204 NPI number — WHITNEY LYNN MILLER PT, DPT

NPI Number: 1225720204
Health Care Provider/Practitioner: WHITNEY LYNN MILLER PT, DPT

Information about “1225720204” NPI (WHITNEY LYNN MILLER PT, DPT) exists in 1225720204 in HTML format HTML  |  1225720204 in plain Text format TXT  |  1225720204 in PDF (Portable Document Format) PDF  |  1225720204 in an XML format XML  formats.

NPI Number : 1225720204 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1225720204",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLER",
    "FirstName": "WHITNEY",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "120 COUNTY ROAD 4657",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RHOME",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76078-5145",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-688-0350",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15080 FM 156 STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76247-7924",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-242-6641",
    "PracticeLocationAddressFaxNumber": "940-242-6642",
    "EnumerationDate": "05/25/2023",
    "LastUpdateDate": "08/09/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "1381000",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "3130762",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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