MEDICARE: MRS. AMY JENA MILLER REUSZE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251N0400X	Neurology Physical Therapist	05005719A	IN
2	2251X0800X	Orthopedic Physical Therapist	05005719A	IN
3	225100000X	Physical Therapist	05005719A	IN

General Provider Information

NPI Number	:	1043142292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY JENA MILLER REUSZE PT

Provider Business Mailing Address
First Line	:	9070 COVINGTON BLVD
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46037-9099
Country	:	US
Telephone Number	:	317-514-5795
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 E CARMEL DR STE 262
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-3065
Country	:	US
Telephone Number	:	317-514-5795
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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