| Jennifer Rose Miller, PT, DPT | |
|
1517 N Howe St, Southport, NC 28461-2772 | |
| (984) 317-5641 | |
| Not Available |
| Full Name | Jennifer Rose Miller |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1517 N Howe St, Southport, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225869720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | CP033423T (South Carolina) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | CP039045T (Texas) | Primary |
| Provider Name | Orthosc Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861902728 PECOS PAC ID: 8022370030 Enrollment ID: O20180501000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Rose Miller, PT, DPT 675 Atlanta Ave Se, Atlanta, GA 30312-3637 Ph: (770) 542-7581 | Jennifer Rose Miller, PT, DPT 1517 N Howe St, Southport, NC 28461-2772 Ph: (984) 317-5641 |
Giacomo Raimondi, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1517 N Howe St Ste 4, Southport, NC 28461 Phone: 910-332-3800 Fax: 910-251-0421 | |
Jacob Kramell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 | |
Logan Raichle, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5013 Southport Crossing Way Ste 204, Southport, NC 28461 Phone: 910-604-9550 | |
Michelle Lee Phillips, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 902 N Howe St, Southport, NC 28461 Phone: 910-457-4789 Fax: 910-457-5824 | |
Pamela R Dehne, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6357 Fax: 910-477-6357 | |
Amanda Mcearl Tilyou, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4002 Executive Park Blvd Ste 800, Southport, NC 28461 Phone: 910-477-6236 Fax: 910-477-6357 | |
Mr. Nikolos William Boehmer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4330 Southport Supply Road, Suite 201, Southport, NC 28461 Phone: 910-457-0113 Fax: 910-457-0114 |