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

Evan Michael Miles

Individual provider Physical Therapist · NPI 1205444346

Evan Michael Miles is a Physical Therapist in Private Practice in Fairmont, West Virginia. Qualified in 2020, 6 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1509 Fairmont Ave
Fairmont, WV 26554-2135
Phone: (304) 363-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (WV)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1205444346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 15, 2020
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairmont