SHANE MILLER (NPI# 1144330663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144330663 |
| Entity Type | Individual |
| Full Name | SHANE MILLER |
| Practice Address |
4106 W Lake Mary Blvd Ste 320 Lake Mary FL 32746-3344 |
| Mailing Address |
25732 Pinehurst St Sorrento FL 32776-9048 |
| Practice Telephone | 4073333971 |
| Mailing Telephone | 3527355732 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE # | PTA11468 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174041040 | Shane Miller | Technician | 1714 Fortview Rd Ste 106e, Austin, TX 78704-7659 | 2017-08-31 |
| 1326048125 | Shane Miller | Pharmacist | Rr 4 Box 376m, Gate City, VA 24251-9215 | 2005-07-22 |
| 1255670246 | Shane Miller | Rehabilitation Practitioner | 2560 Business Pkwy Ste B, Minden, NV 89423-8961 | 2013-02-11 |
| 1114201183 | Shane Michael Miller | Pharmacist | 124 N Congress St, Rushville, IL 62681-1434 | 2011-10-07 |
| 1427378199 | Shane Elizabeth Miller | Marriage & Family Therapist | 25 Church St, Shelton, CT 06484-5802 | 2010-06-04 |
| 1487829719 | Shane Michael Miller | Pediatrics | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2008-04-28 |
| 1093867541 | Shane Donald Miller | Chiropractor | 2911 N 14th St, Suite 102, Bismarck, ND 58503-0659 | 2007-01-17 |
| Street Address |
4106 W LAKE MARY BLVD STE 320 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275640427 | Mark Bubon | Physical Therapist | 4106 W Lake Mary Blvd Ste 320, Lake Mary, FL 32746-3344 | 2006-08-24 |
| 1750929691 | Barnes Lerebours | Physical Therapist | 4106 W Lake Mary Blvd Ste 320, Lake Mary, FL 32746-3344 | 2019-12-10 |
| 1083884290 | Patricia Bradley | Occupational Therapist | 4106 W Lake Mary Blvd Ste 320, Lake Mary, FL 32746-3344 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093220329 | Amanda Ragens | Physical Therapy Assistant | 956 International Pkwy, Lake Mary, FL 32746-5219 | 2017-12-08 |
| 1003321472 | Clifton Mason | Physical Therapy Assistant | 956 International Pkwy Ste 1580, Lake Mary, FL 32746-5219 | 2017-12-07 |
| 1962931022 | Nicholas Francis Pieper | Physical Therapy Assistant | 2806 Egrets Landing Dr, Lake Mary, FL 32746-7412 | 2017-06-12 |
| 1790237410 | Melissa Hernandez | Physical Therapy Assistant | 735 Sugar Bay Way, Apt 202, Lake Mary, FL 32746 | 2016-10-28 |
| 1811444623 | Mark Murphy | Physical Therapy Assistant | 590 S Sundance Dr, Lake Mary, FL 32746-6355 | 2016-09-09 |
| 1124355862 | Michael Crowe | Physical Therapy Assistant | 400 International Pkwy Ste 300, Lake Mary, FL 32746-5065 | 2009-11-17 |
| 1962626374 | Kymbal Rai Hurst | Physical Therapy Assistant | Reflectx Staffing, 250 International Pkwy, Lake Mary, FL 32746 | 2007-04-13 |
| 1134726912 | Maria Carbonaro | Physical Therapy Assistant | 710 N Sun Dr, Lake Mary, FL 32746-2507 | 2020-10-05 |
| 1326679713 | Kyle Legrow | Physical Therapy Assistant | 30 Skyline Dr, Lake Mary, FL 32746-6201 | 2020-02-04 |
| 1346806353 | Edward Michael Schuster | Physical Therapy Assistant | 100 Waymont Ct, Lake Mary, FL 32746-3412 | 2019-05-15 |
| Find all providers in LAKE MARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.