Miracle A Douglas, PT, DPT is a
Physical Therapist based in Climax, Georgia. Miracle A Douglas is licensed to practice in Georgia (license number PT014961) and her current practice location is
150 Bradwell Laster Rd, Climax, Georgia. She can be reached at her office (for appointments etc.) via phone at
(470) 710-9221.
NPI number for Miracle A Douglas is 1407203920 and her current mailing address is 150 Bradwell Laster Rd, Climax, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407203920.
Healthcare Provider's Profile
| Full Name | Miracle A Douglas |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 150 Bradwell Laster Rd, Climax, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407203920
- Provider Enumeration Date: 05/16/2016
- Last Update Date: 02/17/2026
Medical Identifiers
Medical identifiers for Miracle A Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407203920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | PT31362 (Florida) | Secondary |
| 225100000X | Physical Therapist | CP023035T (Tennessee) | Secondary |
| 225100000X | Physical Therapist | PT014961 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miracle A Douglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Miracle A Douglas, PT, DPT 150 Bradwell Laster Rd, Climax, GA 39834-2603 Ph: (470) 710-9221 | Miracle A Douglas, PT, DPT 150 Bradwell Laster Rd, Climax, GA 39834-2603 Ph: (470) 710-9221 |
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