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

Michael Miller, PT, DPT, ATC

Individual provider Athletic Trainer · NPI 1053023739

Michael Miller, PT, DPT, ATC is an Athletic Trainer in Camillus, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5320 W Genesee St
Camillus, NY 13031-2268
Phone: (315) 469-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 049621-01 (NY)
Athletic Trainer Taxonomy 2255A2300X (NY)

Record details

NPI number1053023739
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorYes
NPI enumeratedDecember 14, 2022
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address3408 Hammocks Dr Apt 206, Baldwinsville, NY 13027-4228

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