MEDICARE: PATRICK MILLER PT, DPT

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	225100000X	Physical Therapist	26786	MD
2	225100000X	Physical Therapist	PTH12047	AL

General Provider Information

NPI Number	:	1073033577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK MILLER PT, DPT

Provider Business Mailing Address
First Line	:	700 VALLEY AVE STE C
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-3305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 VALLEY AVE STE C
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-3305
Country	:	US
Telephone Number	:	205-224-4147
Fax Number	:

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

Provider Enumeration Date	:	06/26/2017
Last Update Date	:	01/08/2025

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