Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Braedon Clay Miller, PT, DPT

Individual provider Physical Therapist · NPI 1174209456

Braedon Clay Miller, PT, DPT is a Physical Therapist in Private Practice in Dallas, Oregon. Qualified in 2023, 3 years ago. Practices with Salem Health, a 479-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

641 SE Miller Ave
Dallas, OR 97338-2634
Phone: (503) 623-7305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 512 Main St E Ste 300, Monmouth, OR 97361-2370 — (503) 838-1388

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 64987 (OR)

Record details

NPI number1174209456
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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