BRANDY LYNN MILLER-WILKS (NPI# 1760667471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760667471 |
| Entity Type | Individual |
| Full Name | BRANDY LYNN MILLER-WILKS |
| Credential | DPT |
| Practice Address |
6300 22 Mile Rd Ste 5 Shelby Township MI 48317-2106 |
| Practice Telephone | 5863300872 |
| Practice Fax Number | 8666300604 |
| Mailing Telephone | 5863300872 |
| Mailing Fax Number | 8666300604 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1876 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6300 22 MILE RD STE 5 |
| City | SHELBY TOWNSHIP |
| State | MI |
| Zip Code | 48317-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972654630 | Theresa Lynn Sabens | Occupational Therapist | 6300 22 Mile Rd Ste 5, Shelby Township, MI 48317-2106 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668759 | Michele Lynn Avery | Physical Therapist | 15959 Hall Rd Ste 203, Macomb, MI 48044-5366 | 2020-01-23 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1396247193 | Amy Lynn Casedy | Physical Therapist | 400 E Eisenhower Pkwy Ste A, Ann Arbor, MI 48108-3302 | 2018-03-07 |
| 1588166987 | Christopher Tapley | Physical Therapist | 1540 E Hospital Dr Spc 4236, Ann Arbor, MI 48109-4236 | 2018-03-02 |
| 1639679343 | Jessica Pizzo | Physical Therapist | 15959 Hall Rd Ste 410, Macomb, MI 48044-5365 | 2018-02-19 |
| 1316310402 | Kelsey Michals | Physical Therapist | 42864 Ashbury Dr, Novi, MI 48375-4725 | 2015-11-11 |
| 1093103020 | Maria Margaret Dobbertien | Physical Therapist | 777 Goguac St W Ste B2, Battle Creek, MI 49015-2097 | 2014-12-29 |
| 1316386105 | Sarah Margaret Cardy Goncalves | Physical Therapist | 2672 S. Rochester Rd., Rochester Hills, MI 48307 | 2013-06-14 |
| 1144567520 | Kirsten Etka Hallstrom | Physical Therapist | 1459 Coventry Square Dr, Ann Arbor, MI 48103-6314 | 2013-01-06 |
| 1609112671 | Stacy Lynn Zousmer | Physical Therapist | 4266 Strathdale Ln, West Bloomfield, MI 48323-3143 | 2012-12-19 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TOWNSHIP |
| Zip Code | 48317 |
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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.